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MERIDIAN MEDICAL ASSOCIATES PA NPI 1316051766


NPI Information

NPI: 1316051766
Provider Name: MERIDIAN MEDICAL ASSOCIATES, PA
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 25D2040686

Address:
2024 15TH ST FL 2
MERIDIAN, MS
ZIP 39301
Phone: (601) 553-2000
Get Directions

MERIDIAN MEDICAL ASSOCIATES, PA is an internal medicine in Meridian, MS. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MERIDIAN MEDICAL ASSOCIATES, PA NPI is 1316051766. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2024 15TH ST FL 2
MERIDIAN, MS
ZIP 39301-130
Phone: (601) 553-2000
Fax: (601) 581-1724

The provider's authorized official is Casey Haarala .
The authorized official title is Administrator and has the following contact phone number (601) 553-2000.

The CLIA number assigned to this NPI record is 25D2040686 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 3/27/2023.


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
1207Q00000XFamily MedicineNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RG0100XInternal MedicineGastroenterologyNo
4207RN0300XInternal MedicineNephrologyNo
5207RP1001XInternal MedicinePulmonary DiseaseNo
6207RR0500XInternal MedicineRheumatologyNo
7207RS0012XInternal MedicineSleep MedicineNo
82084N0400XPsychiatry & NeurologyNeurologyNo
9208800000XUrologyNo
10208D00000XGeneral PracticeNo
11363L00000XNurse PractitionerNo
12363LA2100XNurse PractitionerAcute CareNo
13207R00000XInternal MedicineYes

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
109234012MEDICAIDMISSISSIPPI
2209375MEDICAIDALABAMA

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: 4/28/2024

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.