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Mea Primary Care Plus LLC

Family Medicine in Pearl, MS. Organization (NPI-2).

NPI number1508301581
StatusActive
Last updated in NPPESDec 29, 2016

Details

NPI
1508301581
Entity type
Organization (NPI-2)
Legal business name
Mea Primary Care Plus LLC
Organization subpart
No
Enumeration date
Dec 29, 2016
Last updated
Dec 29, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

342 Gilchrist Dr
Pearl, MS 39208-6671

Phone 601-939-0700

Mailing address

308 Corporate Dr
Ridgeland, MS 39157-8803

Authorized official

Wayne Whitley
Ceo
6018987500

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Pearl, MS

All 18 Family Medicine Physician providers in Pearl · All 319 providers in Pearl

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