MELVIN M ANDERSON — NPI 1942076195 (Licensed & Credentialed Supports Brokerage in PORT GIBSON, MS)

CMS-1500 Box 24J / 33a • NPI

1942076195

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

251X00000X

Licensed & Credentialed Supports Brokerage

Box 32 Service Location & ZIP+4

507 MARKET ST, PORT GIBSON, MS, 39150-2041

✓ 9-Digit EDI 837 ZIP+4 (39150-2041)

Practice Phone & Referral Fax

(601) 618-3728

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1942076195 (MELVIN M ANDERSON) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1942076195` (NPI-1 Individual Practitioner)
Provider / Legal Name	MELVIN M ANDERSON
Plain-English Specialty	Licensed & Credentialed Supports Brokerage NUCC Code: `251X00000X` (Supports Brokerage)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	507 MARKET ST, PORT GIBSON, MS, 39150-2041
Practice Telephone / Fax	Tel: (601) 618-3728
Administrative Mailing Address	PO BOX 124, PORT GIBSON, MS, 39150-0124
Enumeration & Last Sync	Enumerated: 2023-11-29 \| CMS Record Updated: 2023-11-29

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

507 MARKET ST, PORT GIBSON, MS, 39150-2041

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Plain-English Taxonomy & CMS Crosswalk (251X00000X)

What Does Taxonomy Code 251X00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251X00000X translates to:
"Licensed & Credentialed Supports Brokerage"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Supports Brokerage for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MELVIN M ANDERSON)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`171000000X` — Military Health Care Provider Plain English: Licensed & Credentialed Military Health Care Provider	State: N/A \| License: `Verified` \| Primary: Secondary
`251300000X` — Local Education Agency (LEA) Plain English: Licensed & Credentialed Local Education Agency (LEA)	State: N/A \| License: `Verified` \| Primary: Secondary
`374U00000X` — Home Health Aide Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`374U00000X` — Home Health Aide Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: MS \| License: `Verified` \| Primary: Secondary
`376J00000X` — Homemaker Plain English: Licensed & Credentialed Homemaker	State: N/A \| License: `Verified` \| Primary: Secondary
`385H00000X` — Respite Care Plain English: Licensed & Credentialed Respite Care	State: N/A \| License: `Verified` \| Primary: Secondary
`251X00000X` — Supports Brokerage Plain English: Licensed & Credentialed Supports Brokerage	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MELVIN M ANDERSON (NPI #1942076195)