Individual provider Active NPI

Mary Leigh Horn, NP-C

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1093165805
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901531 Issued in MS
Practice address
830 S Gloster St
4TH Floor East Tower
Tupelo, MS 38801-4934
Phone
(662) 377-7170
NPI assigned
Jun 13, 2016
Last updated
Nov 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 901531 MS Primary

Addresses

Primary practice location

830 S Gloster St
4TH Floor East Tower
Tupelo, MS 38801-4934

Mailing address

188 Belle Meade Dr
Saltillo, MS 38866-9395

Other names 1

  • Mary Leigh Lipscomb Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL, IA, KS4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160802000046 MS Practitioner - Nurse Practitioner 1850684630 Reassigns benefits to 4 organizations
I20231003001195 AL Practitioner - Nurse Practitioner 1850684630 Reassigns benefits to 1 organization
I20241115001807 IA Practitioner - Nurse Practitioner 1850684630 Reassigns benefits to 1 organization
I20250409001817 KS Practitioner - Nurse Practitioner 1850684630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prosthetic Circle of Care LLCGroup PAC ID 8921484833, 8 clinicians

Practice addresses (Care Compare)

104 E Le Claire Rd
Eldridge, IA 52748-1783
Phone (912) 421-3747

120 SE 6TH Ave
Suite 3 118B
Topeka, KS 66603-3519
Phone (912) 231-7482

3800 Ridgeway Dr
Birmingham, AL 35209-5506
Phone (912) 421-3747

457 E Madison St
Houston, MS 38851-2308
Phone (912) 231-7482

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Feb 15, 2024 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Dec 20, 2025 Accepting new patients
North Mississippi Medical Center Inc. CurrentSince Jun 15, 2016 Accepting new patients
Prosthetic Circle of Care, LLC CurrentSince Sep 21, 2023 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Feb 15, 2024 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Jun 15, 2016 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC Past Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Past Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC Past Accepting new patients

Locations

1526 5th Ave S
Birmingham, AL 35233
Phone (205) 279-2860

3800 Ridgeway Dr
Homewood, AL 35209
Phone (205) 568-9526

5501 Abercorn St
Savannah, GA 31405

5507 Abercorn St
Ste 103
Savannah, GA 31405

104 E Le Claire Rd
Eldridge, IA 52748
Phone (912) 231-7482

120 SE 6th Ave
Ste 3118B
Topeka, KS 66603
Phone (912) 231-7482

400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455

457 E Madison St
Houston, MS 38851
Phone (662) 456-4277

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

830 S Gloster St
Fl 4
Tupelo, MS 38801
Phone (662) 377-7100

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1093165805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 BELLE MEADE DR",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388669395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "address_2": "4TH FLOOR EAST TOWER",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "662-377-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "MARY",
        "middle_name": "LEIGH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "LIPSCOMB",
            "middle_name": "LEIGH",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.