MEDICAL FOUNDATION, INC.
NPI 1609820539
Family Medicine in Meridian, MS

Active since May 22, 2006
1314 19TH AVE, MERIDIAN, MS 39301(601) 703-3310(601) 703-3311 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 21, 2022, Feb 27, 2018, Feb 23, 2018 (3 updates tracked since 2018).

About Medical Foundation, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL FOUNDATION, INC. (NPI 1609820539) is a healthcare organization registered as a family medicine in Meridian, Mississippi and active in the NPI registry since May 2006. The organization lists Don Larkin Kennedy, Regional Ceo, as its authorized official.

NPPES Registry Identity

NPI1609820539
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDICAL FOUNDATION, INC.
Location Address1314 19TH AVEMeridian, MS 39301-4116
Mailing AddressDept 3020, Po Box 1000Memphis, TN 38148-3020 · (601) 213-3010 · Fax (601) 213-3011
Fax(601) 703-3311
Organization SubpartNo
Authorized OfficialDon Larkin KennedyRegional Ceo · (601) 703-9614
Enumeration DateMay 22, 2006
Last NPPES UpdateApril 21, 20233 updates tracked since enumeration
NPPES CertifiedApril 21, 2023
✔ NPI 1609820539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
1314 19TH AVE, Meridian, MS 39301

Other Identifiers 1

Medicaid09014742MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical Foundation, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20031118000855Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

349

Medicare enrollment records show 349 clinicians reassign Medicare billing to Medical Foundation, Inc., which bills Medicare for the services they deliver. Of these, 49 practice at this address and 128 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 28

Diagnostic Radiology119
Nurse Practitioner76
Certified Registered Nurse Anesthetist (CRNA)30
Obstetrics/Gynecology20
Internal Medicine19
Family Practice11
Hospitalist10
Infectious Disease7
20 other specialties57

Nearest to this location (20)

See all 349
Certified Registered Nurse Anesthetist (CRNA)
NPI 1629887336
1314 19TH AVE
Meridian, MS 39301
(601) 483-0011
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1760904304
1314 19TH AVE
Meridian, MS 39301
(601) 703-3018
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1699757872
1314 19TH AVE
Meridian, MS 39301
(601) 703-9687
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1598747529
1314 19TH AVE
Meridian, MS 39301
(601) 703-4078
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144915281
1314 19TH AVE
Meridian, MS 39301
(601) 483-0011
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1740269984
1314 19TH AVE
Meridian, MS 39301
(601) 703-9687
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1134101330
1314 19TH AVE
Meridian, MS 39301
(601) 703-9687
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1881261576
1314 19TH AVE
Meridian, MS 39301
(601) 483-0011
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1912362385
1314 19TH AVE
Meridian, MS 39301
(601) 703-9687
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1760375091
1314 19TH AVE
Meridian, MS 39301
(601) 483-0011
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1407318231
1314 19TH AVE
Meridian, MS 39301
(601) 703-6721
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114401908
1314 19TH AVE
Meridian, MS 39301
(601) 484-2762
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1396943007
1314 19TH AVE
Meridian, MS 39301
(601) 703-9687
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1982017315
1314 19TH AVE
Meridian, MS 39301
(601) 703-9260
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1912581257
1314 19TH AVE
Meridian, MS 39301
(601) 480-9253
✔ PECOS✔ Accepts MedicareSame address
Pain Management
NPI 1710935671
1314 19TH AVE
Meridian, MS 39301
(601) 703-4362
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1306814801
1314 19TH AVE
Meridian, MS 39301
(601) 703-4926
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1003258930
1314 19TH AVE
Meridian, MS 39301
(601) 483-0011
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1710969472
1314 19TH AVE
Meridian, MS 39301
(601) 703-4078
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1023320280
1314 19TH AVE
Meridian, MS 39301
(601) 703-4078
✔ PECOS✔ Accepts MedicareSame address
See all 349 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Foundation, Inc.'s NPI number?

The NPI number for Medical Foundation, Inc. is 1609820539. It was assigned to this organization in the NPPES registry on May 22, 2006.

Where is Medical Foundation, Inc. located?

Medical Foundation, Inc. is located at 1314 19th Ave, Meridian, MS 39301. The listed phone number is (601) 703-3310.

What is Medical Foundation, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Medical Foundation, Inc. enrolled in Medicare?

Yes. Medical Foundation, Inc. is registered in the Medicare PECOS enrollment system.

When is Medical Foundation, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Medical Foundation, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 349 clinicians in 28 Medicare specialties reassign their Medicare billing to Medical Foundation, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (119), Nurse Practitioner (76) and Certified Registered Nurse Anesthetist (CRNA) (30). Of these, 49 practice at this address and 128 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Medical Foundation, Inc. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Medical Foundation, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medical Foundation, Inc. was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.