OrganizationActive
Medical Foundation, Inc.
NPI 1346654027 · Geriatric Medicine (Family Medicine) Physician · Meridian, MS
Provider details
- NPI number
- 1346654027
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Don Kennedy, Regional Ceo(601) 703-9614
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Otolaryngology Physician207Y00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1800 12th St
Meridian, MS 39301-4158
Phone: (601) 484-6700
Fax: (601) 703-9162
Approximate (ZIP-level) locationGet directions
Mailing address
Dept 3020, P.o. Box 1000
Memphis, TN 38148-3020
Other names (DBA / former)
- Doing business as
- Ochsner Rush Medical Group
Registry dates
- Enumerated
- 2014-06-20
- Last updated
- 2023-04-21
- Certified
- 2023-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.