MR. MELVIN M ANDERSON III
NPI 1942076195
Supports Brokerage in Port Gibson, MS

Active since November 29, 2023
507 MARKET ST, PORT GIBSON, MS 39150(601) 618-3728 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Melvin M Anderson Iii NPPES

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

MR. MELVIN M ANDERSON III (NPI 1942076195) is an individual supports brokerage provider in Port Gibson, Mississippi and active in the NPI registry since November 2023. He maintains a secondary practice location in Kosciusko.

NPPES Registry Identity

NPI1942076195
Entity TypeIndividualMale
Primary Taxonomy251X00000X
Provider Legal NameMR. MELVIN M ANDERSON III
Location Address507 MARKET STPort Gibson, MS 39150-2041
Mailing AddressPo Box 124Port Gibson, MS 39150-0124 · (601) 618-3728
Sole ProprietorYes
Enumeration DateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
NPI 1942076195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtySupports BrokerageAgencies
Taxonomy Code251X00000X
Definition
A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
Also ListedLocal Education Agency (LEA)Taxonomy 251300000X
Also ListedHome Health AideTaxonomy 374U00000X
Also ListedHomemakerTaxonomy 376J00000X
Also ListedRespite CareTaxonomy 385H00000X
507 MARKET ST, Port Gibson, MS 39150

Secondary Practice Location 1

Location 1301 E South StKosciusko, MS 39090-4635 · Phone (662) 516-8007 · Fax (662) 516-8021

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 Melvin Anderson's NPI number?

The NPI number for Melvin Anderson is 1942076195. It was assigned to this individual provider in the NPPES registry on November 29, 2023.

Where is Melvin Anderson located?

Melvin Anderson practices at 507 Market St, Port Gibson, MS 39150. The listed phone number is (601) 618-3728.

What is Melvin Anderson's specialty?

The primary specialty registered for this NPI is Supports Brokerage with taxonomy code 251X00000X.

When was this NPI record last updated?

The NPPES record for Melvin Anderson was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.