FIRST INTERMED CORPORATION (NPI# 1801820808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801820808 |
| Entity Type | Organization |
| Organization Name | FIRST INTERMED CORPORATION |
| Other Organization Name | MEA MEDICAL CLINICS |
| Practice Address |
1777 Ellis Ave Jackson MS 39204-3616 |
| Practice Telephone | 6013710400 |
| Practice Fax Number | 6013711533 |
| Mailing Telephone | 6013710400 |
| Mailing Fax Number | 6013711533 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-02-12 |
| Authorized Official Name | SAM SCOTT (CFO) |
| Authorized Official Telephone | 6018987525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | RAILROAD MEDICARE | CH7895 | 01 |
| MS | 09015301. | 05 |
| Other Name | Type Code |
|---|---|
| MEA Medical Clinics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275992786 | First Intermed Corporation | Family Medicine | 804 Highway 51, Madison, MS 39110-8404 | 2016-02-12 |
| 1861772105 | First Intermed Corporation | Family Medicine | 4204 Clay Street, Vicksburg, MS 39183-0000 | 2011-08-18 |
| 1952604811 | First Intermed Corporation | Family Medicine | 106 Lake Vista Place, Brandon, MS 39047-0000 | 2010-12-15 |
| 1326170218 | First Intermed Corporation | Family Medicine | 112 South Lake Circle, Canton, MS 39046 | 2007-03-09 |
| 1346275310 | First Intermed Corporation | Family Medicine | 323 Highway 51, Ridgeland, MS 39157 | 2006-07-11 |
| 1932133931 | First Intermed Corporation | Family Medicine | 507 Lakeland Pl, Brandon, MS 39047-8257 | 2006-07-10 |
| 1639103625 | First Intermed Corporation | Family Medicine | 342 Gilchrist Dr, Pearl, MS 39208-6671 | 2006-07-10 |
| 1376577379 | First Intermed Corporation | Family Medicine | 498 Highway 80 E, Clinton, MS 39056-4720 | 2006-07-10 |
| 1275567281 | First Intermed Corporation | Family Medicine | 7300 S Siwell Rd, Byram, MS 39272-9772 | 2006-07-10 |
| 1346274354 | First Intermed Corporation | Family Medicine | 1132 Highway 49 S, Richland, MS 39218-9446 | 2006-07-10 |
| Street Address |
1777 ELLIS AVE |
| City | JACKSON |
| State | MS |
| Zip Code | 39204-3616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821533852 | Mea Primary Care Plus LLC | Family Medicine | 1777 Ellis Ave, Jackson, MS 39204-3616 | 2016-12-29 |
| 1184047904 | Michael Lucas Brasel | Physician Assistant | 1777 Ellis Ave, Jackson, MS 39204-3616 | 2014-01-30 |
| 1306940051 | Elizabeth Allen | Physical Therapist | 1777 Ellis Ave, Suite B, Jackson, MS 39204-3616 | 2006-09-12 |
| 1912001579 | Genesis Physical Therapy | Physical Therapist | 1777 Ellis Ave, Suite B, Jackson, MS 39204-3616 | 2006-09-12 |
| 1073536785 | Diana L Entrekin | Family Medicine | 1777 Ellis Ave, Jackson, MS 39204-3616 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
| 1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
| 1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
| 1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
| 1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
| 1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
| 1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
| 1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
| 1922117662 | Elgin Kenneth Walley | Dentist | 2174 Henry Hill Drive, Jackson, MS 39204 | 2006-08-29 |
| 1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
| Find all providers in zip 39204 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754995 | Oak Street Health Physicians Group of Mississippi, LLC | Family Medicine | 911 Ellis Ave, Jackson, MS 39209 | 2020-06-09 |
| 1003470758 | Central Mississippi Health Services, Inc | Family Medicine | 3450 Highway 80 W Ste 71, Jackson, MS 39209-7201 | 2019-04-29 |
| 1922515493 | Meaghan Schenk Johnson | Family Medicine | 2969 Curran Dr N # 200, Jackson, MS 39216-4121 | 2018-01-05 |
| 1740795731 | Emily Colleen Dunaway | Family Medicine | 1227 N State St # 101, Jackson, MS 39202-2002 | 2017-12-12 |
| 1679086367 | Hope Np House Call Practice | Family Medicine | 98 Grandview Ave, Jackson, OH 45640-9090 | 2017-11-16 |
| 1427585488 | Daniel Matthew Bender | Family Medicine | 455 W Broadway Ave, Jackson, WY 83001-8639 | 2017-05-21 |
| 1891235289 | Logan Hardin | Family Medicine | 1270 Union University Dr Ste A, Jackson, TN 38305-3856 | 2017-03-03 |
| 1255782843 | Seth Tyler Koehler | Family Medicine | 2600 E Main St, Jackson, MO 63755-2473 | 2016-06-25 |
| 1720495245 | Gopi Patel | Family Medicine | 27 S Cooks Bridge Rd Ste 2-1, Jackson, NJ 08527-2524 | 2014-07-16 |
| 1154735165 | Lk Physicians Services Pllc | Family Medicine | 36 Lake Pointe Dr, Jackson, TN 38305-8113 | 2014-06-17 |
| Find all providers in JACKSON | ||||
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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.