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DR. SHANI KIRK MECK M.D. NPI 1417058678


NPI Information

NPI: 1417058678
Provider Name: DR. SHANI KIRK MECK, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Organization: EAST LAKELAND OB GYN ASSOCIATES, P.A.

PECOS Registration: Yes

Address:
1020 RIVER OAKS DR
SUITE 320
JACKSON, MS
ZIP 39232
Phone: (601) 936-1400
Get Directions

DR. Shani Kirk Meck, M.D. is an obstetrics gynecology in Jackson, MS with 27 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Shani Kirk Meck, M.D. NPI is 1417058678. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

1020 RIVER OAKS DR
SUITE 320
JACKSON, MS
ZIP 39232-500
Phone: (601) 936-1400
Fax: (601) 936-0671

The NPI 1417058678 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 5/27/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology15963MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10124465MEDICAIDMISSISSIPPI
2160000494MEDICARE PINMISSISSIPPI
3H43335MEDICARE UPINMINNESOTA
415963OTHERMISSISSIPPIMEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.