Active NPI
Molly Grubbs Mayhugh, FNP
- Family Nurse Practitioner
- Monticello, MS
National Provider Identifier
1093201980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 902712
- Practice address
- 314 Main St Ste D
Monticello, MS 39654-3702 - Phone
- (601) 587-4304
- Fax
- (601) 587-4515
- NPI assigned
- Jul 3, 2018
- Last updated
- Aug 15, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 902712 | MS | Primary |
Addresses
Primary practice location
314 Main St Ste D
Monticello, MS 39654-3702
Mailing address
PO Box 23666
Jackson, MS 39225-3666
Phone (601) 200-4749
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01071599 | Medicaid | MS |
Other names 1
- Mrs. Molly Mayhugh
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190806004188 | MS | Practitioner - Nurse Practitioner | 7416284922 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902712 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bonita C. Musial | Family Medicine | Past | Accepting new patients |
| Caring Hands Children's Clinic, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8246/brand/1/csg/1/fhir/r4
- molly.mayhugh.1@8246.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Monticello, MS
- NPI 1144370552
-
- Pediatric Registered Nurse
- Monticello, MS
- NPI 1578993267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1093201980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23666",
"city": "JACKSON",
"state": "MS",
"postal_code": "392253666",
"telephone_number": "601-200-4749",
"fax_number": "601-200-5929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 MAIN ST STE D",
"city": "MONTICELLO",
"state": "MS",
"postal_code": "396543702",
"telephone_number": "601-587-4304",
"fax_number": "601-587-4515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYHUGH",
"first_name": "MOLLY",
"middle_name": "GRUBBS",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-03",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "902712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01071599",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLY",
"last_name": "MAYHUGH",
"prefix": "MRS.",
"credential": "MOLLY GRUBBS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Monticello, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.