Charles R. Purdy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18829 Issued in MS

Practice address

1523 22ND Ave Ste B
Meridian, MS 39301-4016

Phone

(601) 703-8450

Fax

(601) 553-6308

NPI assigned

Mar 9, 2006

Last updated

Dec 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency MedicineAlso: Family Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Services of Meridian IncGroup PAC ID 7315285376, 12 clinicians

Bear Creek Emergency Group LLCGroup PAC ID 8820587629, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bear Creek Emergency Group LLC

  • Emergency Medicine Physician
  • Meridian, MS
  • NPI 1750252623
  Medicare reassignment Care Compare group NPD
• Medical Services of Meridian, Inc.

  • Emergency Medicine Physician
  • Memphis, TN
  • NPI 1174095988

  MS

  Medicare reassignment Care Compare group NPD
• Anderson Regional Medical Center

  dba Baptist Anderson Professional Fees-Ekg

  • Cardiovascular Disease Physician
  • Meridian, MS
  • NPI 1972720175
  Medicare reassignment NPD
• Keystone Medical Services of Ms, Inc

  • Emergency Medicine Physician
  • Hazlehurst, MS
  • NPI 1174691059
  Medicare reassignment NPD
• Anderson Regional Medical Center

  dba Baptist Anderson Professional Services

  • Specialist
  • Meridian, MS
  • NPI 1043764699
  NPD
• Anderson Regional Medical Center

  dba Baptist Anderson Regional Medical Center-South

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1215233986
  NPD
• McLemore Emergency Physicians

  • Emergency Medicine Physician
  • Meridian, MS
  • NPI 1427007483
  NPD (past)
• Hope-Hempstead Emegency Group LLC

  • Emergency Medicine Physician
  • Hope, AR
  • NPI 1235115726
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Anderson Regional Medical Center

  dba Baptist Anderson Regional Medical Center

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1649226952
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1992773675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "telephone_number": "773-348-1281",
            "fax_number": "901-227-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 22ND AVE STE B",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014016",
            "telephone_number": "601-703-8450",
            "fax_number": "601-553-6308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Old Mill Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "MS",
            "postal_code": "393309649",
            "country_code": "US",
            "telephone_number": "601-704-1020",
            "fax_number": "601-704-1021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURDY",
        "first_name": "CHARLES",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "18829",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "18829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07375770",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie O Pruitt
• Richard Pryor, LICSW
• Psychology Associates, LLC
• Janet D Pugh, APRN, BC
• Sandra H. Pupa, M.D.
• James John Purdy, MD, FACOG
• Edwin M Purvis, M.D.
• Ronnye Dale Purvis
• Queen City Medical Equipment, Inc
• Queen City Nursing Center Inc

• Family Medicine Physician in Meridian, MS
• Providers in Meridian, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.