Active NPI
Gloria McGaughy
- Psychiatric/Mental Health Nurse Practitioner
- Olive Branch, MS
National Provider Identifier
1093635690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 908589
- Practice address
- 1155 Lanere Dr
Olive Branch, MS 38654-2343 - Phone
- (501) 772-5424
- NPI assigned
- Jul 15, 2026
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 908589 | MS | Primary |
Addresses
Primary practice location
1155 Lanere Dr
Olive Branch, MS 38654-2343
Mailing address
1155 Lanere Dr
Olive Branch, MS 38654-2343
Phone (501) 772-5424
Other names 1
- Gloria McGaughy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1093635690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 LANERE DR",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386542343",
"telephone_number": "501-772-5424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 LANERE DR",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386542343",
"telephone_number": "501-772-5424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGAUGHY",
"first_name": "GLORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-15",
"last_updated": "2026-07-15",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MS",
"license": "908589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GLORIA",
"last_name": "MCGAUGHY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.