| Anderson Regional Medical Center | |
|
2124 14th St Meridian MS 39301 | |
| (601) 703-3480 | |
| (601) 703-0124 |
| Full Name | Anderson Regional Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 2124 14th St, Meridian, Mississippi |
| Authorized Official Name and Position | John Anderson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6015536000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Regional Medical Center 2124 14th St Meridian MS 39301-4040 Ph: (601) 703-3480 | Anderson Regional Medical Center 2124 14th St Meridian MS 39301 Ph: (601) 703-3480 |
| NPI Number | 1972720175 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/10/2018 |
| Medicare PECOS PAC ID | 4284548025 |
|---|---|
| Medicare Enrollment ID | O20031117000522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972720175 | NPI | - | NPPES |
| 529908690 | Medicaid | AL | |
| 102585 | Medicaid | AL | |
| 000019046 | Other | MS | BLUE CROSS OF MS |
| 09013082 | Medicaid | MS |
| Provider Name | Thomas G Plavac |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649272782 PECOS PAC ID: 1557264355 Enrollment ID: I20040129000519 |
| Provider Name | Edwin M Purvis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164409710 PECOS PAC ID: 1153210430 Enrollment ID: I20040313000772 |
| Provider Name | Randall Scott Joransen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407858541 PECOS PAC ID: 2769373513 Enrollment ID: I20040322001856 |
| Provider Name | Robert J Berg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114901063 PECOS PAC ID: 0840256079 Enrollment ID: I20041213000527 |
| Provider Name | Charles Purdy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992773675 PECOS PAC ID: 2264417203 Enrollment ID: I20050420001412 |
| Provider Name | William A Billups |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598737215 PECOS PAC ID: 3173426368 Enrollment ID: I20050511000387 |
| Provider Name | John T Boyd |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730155946 PECOS PAC ID: 6002836699 Enrollment ID: I20051128000671 |
| Provider Name | Muzaffar Rahat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336145762 PECOS PAC ID: 2062433253 Enrollment ID: I20051215000524 |
| Provider Name | Wesley S Bennett |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730166307 PECOS PAC ID: 3779653787 Enrollment ID: I20080603000465 |
| Provider Name | William F Reid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760469340 PECOS PAC ID: 8123198132 Enrollment ID: I20080603000634 |
| Provider Name | Colette C Parker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053357749 PECOS PAC ID: 6305919481 Enrollment ID: I20080723000099 |
| Provider Name | Larry Shea Hailey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225232895 PECOS PAC ID: 7911071212 Enrollment ID: I20080805000392 |
| Provider Name | Jennifer J Rodriguez |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235232752 PECOS PAC ID: 9335140847 Enrollment ID: I20080916000236 |
| Provider Name | Aamir Hashmat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710983150 PECOS PAC ID: 7618011628 Enrollment ID: I20100215000252 |
| Provider Name | Michael B Shrock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578545968 PECOS PAC ID: 8224165089 Enrollment ID: I20100427000640 |
| Provider Name | Jason W Coleman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245241538 PECOS PAC ID: 8123207396 Enrollment ID: I20110120000924 |
| Provider Name | Stephen W Tartt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023081478 PECOS PAC ID: 5991607186 Enrollment ID: I20110519000363 |
| Provider Name | Ashley Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154629178 PECOS PAC ID: 2062683949 Enrollment ID: I20110926000712 |
| Provider Name | Deanna I Price |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295717817 PECOS PAC ID: 5092957571 Enrollment ID: I20130813000363 |
| Provider Name | Hannah Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588194708 PECOS PAC ID: 1658641782 Enrollment ID: I20170724001699 |
| Provider Name | Lauren S Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740798164 PECOS PAC ID: 2264794593 Enrollment ID: I20180326000304 |
| Provider Name | William B. Moskowitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205946845 PECOS PAC ID: 8022151018 Enrollment ID: I20181001002604 |
| Provider Name | Sameer Sharma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346522554 PECOS PAC ID: 8022302900 Enrollment ID: I20191212001297 |
| Provider Name | Lekica R Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023624467 PECOS PAC ID: 8426467408 Enrollment ID: I20210503002491 |
| Provider Name | Sukriye Damla Kara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174054654 PECOS PAC ID: 1951708270 Enrollment ID: I20210928003829 |
| Provider Name | John J Criscuolo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346653136 PECOS PAC ID: 3375809643 Enrollment ID: I20210930001382 |
| Provider Name | Lucas Hillman Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346627544 PECOS PAC ID: 7315254729 Enrollment ID: I20220623000043 |
| Provider Name | Meghan J Webb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164983151 PECOS PAC ID: 2466788047 Enrollment ID: I20220916001884 |
| Provider Name | Shivraj Savadkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881175263 PECOS PAC ID: 1153716451 Enrollment ID: I20241010002188 |
| Provider Name | Stephanie L Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841273885 PECOS PAC ID: 5193257863 Enrollment ID: I20241018002383 |
| Provider Name | William Justice |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124480033 PECOS PAC ID: 5496040941 Enrollment ID: I20241030001262 |
| Provider Name | Osasere K Ero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821592536 PECOS PAC ID: 4587908231 Enrollment ID: I20241122002156 |
| Provider Name | Joanna Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851846810 PECOS PAC ID: 1355876269 Enrollment ID: I20241129000165 |
Positive Innergy Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6562 King Rd, Meridian, MS 39305 Phone: 601-917-0271 | |
Best Of Both Worlds Addiction Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8364 Ham Rd, Meridian, MS 39305 Phone: 601-679-5729 Fax: 601-679-5548 | |
Gibbs Comprehensive Care, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1054 Highway 19 S, Meridian, MS 39301 Phone: 601-692-8997 Fax: 601-531-3107 | |
Region Ten Commission State Of Ms Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1415 College Drive, Meridian, MS 39307 Phone: 601-483-4821 Fax: 601-485-8727 | |
Region Ten Commission On Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1929 23rd Ave, Meridian, MS 39301 Phone: 601-482-7377 | |
New Begininings Mental Health, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2217 Highway 39 North, Suite A, Meridian, MS 39301 Phone: 601-453-4133 | |
Rush Neurology Associates, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 12th St, Suite 2a, Meridian, MS 39301 Phone: 601-703-4366 Fax: 601-703-4064 |