Muriel Mikayla Pracht, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

T-5018 Issued in MS

Practice address

2500 N State St
Jackson, MS 39216-4500

Phone

(662) 640-2228

NPI assigned

Mar 29, 2023

Last updated

Jul 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Muriel Mikayla Johnson Former name

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688860800000",
    "number": "1083318497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WILLOW WAY",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "39046",
            "telephone_number": "662-640-2228"
        },
        {
            "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": "662-640-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRACHT",
        "first_name": "MURIEL",
        "middle_name": "MIKAYLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-07-09",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "T-5018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MURIEL",
            "last_name": "JOHNSON",
            "middle_name": "MIKAYLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bethany Powers
• Colleen Powers, MD
• Evan Powers, MD
• Trude C Powers, LCSW
• Ppxtec, LLC
• Samuel P Prahlow
• Saket Dineshkumar Prajapati, M.D.
• Gwendolyn Spencer Prater, PHD, MSW, LCSW
• Advait Praveen
• Harry Vincent Precheur, D.M.D.

• Obstetrics & Gynecology Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Obstetrics & Gynecology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2023; 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.

Verify at the official NPI Registry.