Active NPI
Mary Kinney Lowe Corley, MD
- Obstetrics & Gynecology Physician
- Jackson, MS
National Provider Identifier
1003070863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- T-2152
- Practice address
- 2500 N State St
Jackson, MS 39216-4500 - Phone
- (601) 984-5339
- NPI assigned
- Jul 10, 2008
- Last updated
- Apr 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | T-2152 | MS | Primary |
Addresses
Primary practice location
2500 N State St
Jackson, MS 39216-4500
Mailing address
2500 N State St
Jackson, MS 39216-4500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01730334 | Medicaid | MS | |
| 140554 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-2152 | MS | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookwood Womens Health PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Alabama, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| BBH Women's Care, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Caroline a Reich MD PC | Past | Accepting new patients |
Locations
2006 Brookwood Medical Ctr Dr
Ste 202
Birmingham, AL 35209
Phone (205) 397-8850
2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930
3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000
Interoperability endpoints
- https://epicproxy.et1131.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Birmingham, AL
- NPI 1417250663
-
- Obstetrics & Gynecology Physician
- Greenville, SC
- NPI 1881976520
-
- Obstetrics & Gynecology Physician
- Birmingham, AL
- NPI 1659086791
-
- Diagnostic Radiology Physician
- Birmingham, AL
- NPI 1982882270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492646400000",
"number": "1003070863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-5339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORLEY",
"first_name": "MARY KINNEY",
"middle_name": "LOWE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2017-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MS",
"license": "T-2152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01730334",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140554",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.