MEA PRIMARY CARE PLUS LLC (NPI# 1073012118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073012118 |
| Entity Type | Organization |
| Organization Name | MEA PRIMARY CARE PLUS LLC |
| Practice Address |
112 Southlake Cir Canton MS 39046-5368 |
| Practice Telephone | 6018598550 |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |
| Authorized Official Name | ASHLEY BUIE (IT MANAGER) |
| Authorized Official Telephone | 6018987530 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467927079 | Mea Primary Care Plus LLC | Counselor | 308 Corporate Dr, Ridgeland, MS 39157-8803 | 2018-10-10 |
| 1215425715 | Mea Primary Care Plus LLC | Family Medicine | 307 E Fifteenth St, Yazoo City, MS 39194-2631 | 2018-04-30 |
| 1356840490 | Mea Primary Care Plus LLC | Family Medicine | 507 Lakeland Pl, Flowood, MS 39232-6557 | 2018-02-05 |
| 1629577762 | Mea Primary Care Plus LLC | Family Medicine | 1132 Highway 49 S, Richland, MS 39218-9446 | 2018-02-05 |
| 1699210674 | Mea Primary Care Plus LLC | Family Medicine | 1515 Jefferson St, Laurel, MS 39440-4244 | 2016-12-29 |
| 1508301581 | Mea Primary Care Plus LLC | Family Medicine | 342 Gilchrist Dr, Pearl, MS 39208-6671 | 2016-12-29 |
| 1821533852 | Mea Primary Care Plus LLC | Family Medicine | 1777 Ellis Ave, Jackson, MS 39204-3616 | 2016-12-29 |
| 1376088302 | Mea Primary Care Plus LLC | Family Medicine | 5606 Old Canton Rd, Jackson, MS 39211-4217 | 2016-12-29 |
| 1750826210 | Mea Primary Care Plus LLC | Family Medicine | 323 Highway 51, Ridgeland, MS 39157-3428 | 2016-12-19 |
| Street Address |
112 SOUTHLAKE CIR |
| City | CANTON |
| State | MS |
| Zip Code | 39046-5368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518521145 | Gabriel Martin Ibarra | Physician Assistant | 112 Southlake Cir, Canton, MS 39046-5368 | 2019-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858053 | Pediatric Haven | Skilled Nursing Facility | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-20 |
| 1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
| 1881245736 | Mildred Loving | Technician | 323 Shady Lane, Canton, MS 39046 | 2019-09-23 |
| 1295384683 | Betty Bass | Technician | 693 Miggins Road, Canton, MS 39046 | 2019-09-09 |
| 1972081644 | Charles Brayden Jones | Physical Therapist | 276 Nissan Pkwy Ste 400, Canton, MS 39046 | 2018-08-03 |
| 1013436062 | Andrew J Breland | Counselor | 210 E Peace St, Canton, MS 39046 | 2017-09-11 |
| 1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
| 1619362977 | Shameca Hudson | Nurse Practitioner | 274 Cobbville Dr E, Canton, MS 39046 | 2015-04-03 |
| 1144644386 | Margaret Reimers Beckwith | Chiropractor | 124 Links Drive, I-103, Canton, MS 39046 | 2014-02-07 |
| 1053753194 | Tanya Linette Calhoun | Nurse Practitioner | 1171 Hart Street, Canton, MS 39046 | 2013-07-17 |
| Find all providers in zip 39046 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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|---|---|---|---|---|
| 1124629365 | Dima Healthcare, Inc | Family Medicine | 7768 Cumming Hwy Ste 300, Canton, GA 30115-2982 | 2020-11-04 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1417571142 | K Loor Medical LLC | Family Medicine | 1750 Marietta Hwy Ste 250, Canton, GA 30114-8388 | 2020-05-28 |
| 1336762913 | Favor Family Medical Practice | Family Medicine | 103 Mountain Brook Dr Ste 100, Canton, GA 30115-9078 | 2020-05-18 |
| 1679051213 | Edward Arthur Hill | Family Medicine | 6104 Cedar Lane Nw, Canton, OH 44708 | 2018-08-06 |
| 1629592175 | Healthy U Academy, LLC | Family Medicine | 1226 Market Ave N, Canton, OH 44714-2604 | 2017-07-26 |
| 1629508114 | Zeinab M Makki | Family Medicine | 7330 N Canton Center Rd Ste 111, Canton, MI 48187-1538 | 2017-06-15 |
| 1366805210 | Michael Wowk | Family Medicine | 1600 S Canton Center Rd Ste 220, Canton, MI 48188-6276 | 2016-03-29 |
| 1184036832 | Courtney Weaver | Family Medicine | 15 Reinhardt College Pkwy Ste 100, Canton, GA 30114-5259 | 2014-05-29 |
| 1831538248 | Visiting Medical Service, P.C. | Family Medicine | 48772 Wildrose Dr, Canton, MI 48187-5641 | 2013-06-19 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.