MERIDIAN WEIGHT MANAGEMENT CENTER-PHILADELPHIA
NPI 1760113872
Nurse Practitioner - Family in Philadelphia, MS
About Meridian Weight Management Center-philadelphia NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERIDIAN WEIGHT MANAGEMENT CENTER-PHILADELPHIA (NPI 1760113872) is a healthcare organization registered as a family in Philadelphia, Mississippi and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through November 24, 2026 and lists Dana Davis, Clinic Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2122302
Meridian Weight Management Center · Philadelphia, MSFrequently 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 Meridian Weight Management Center-Philadelphia's NPI number?
The NPI number for Meridian Weight Management Center-Philadelphia is 1760113872. It was assigned to this organization in the NPPES registry on June 20, 2022.
Where is Meridian Weight Management Center-Philadelphia located?
Meridian Weight Management Center-Philadelphia is located at 1120 E Main St Ste 25, Philadelphia, MS 39350. The listed phone number is (601) 781-4086.
What is Meridian Weight Management Center-Philadelphia's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Meridian Weight Management Center-Philadelphia hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2122302) is associated with this NPI, valid through November 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Meridian Weight Management Center-Philadelphia was last updated on June 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Meridian Weight Management Center-Philadelphia · NPI 1760113872
Family organization in Philadelphia, Mississippi. Organization record, active in the CMS NPPES registry since June 20, 2022.
## Identity
- **NPI:** 1760113872 (Entity type: Organization)
- **Enumerated:** June 20, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Dana Davis, CLINIC MANAGER
## Practice location
- **Address:** 1120 E MAIN ST STE 25, Philadelphia, MS 39350-2300
- **Phone:** (601) 781-4086
## Record status
- **NPPES last updated:** June 26, 2022
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1760113872) · Data from the CMS NPPES public registry.