Mary Brett Miller, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R855665 Issued in MS

Practice address

401 Southcrest Cir Ste 212
Southaven, MS 38671-6721

Phone

(662) 245-5270

Fax

(662) 351-9471

NPI assigned

Mar 17, 2006

Last updated

May 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS, TN2 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 2

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Curana Health of Mississippi LLCGroup PAC ID 3678887700, 18 clinicians

CH MSSP Services Ms LLCGroup PAC ID 7911441126, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2699/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• CH MSSP Services Ms LLC

  • Internal Medicine Physician
  • Flowood, MS
  • NPI 1194565051
  Medicare reassignment Care Compare group NPD
• Curana Health of Mississippi LLC

  • Family Nurse Practitioner
  • Flowood, MS
  • NPI 1013395615
  Medicare reassignment Care Compare group NPD
• Golden Triangle Urgent Care LLC

  • Rural Health Clinic/Center
  • Starkville, MS
  • NPI 1346592045

  Family

  Medicare reassignment NPD
• Wound Care Associates LLC

  dba MedCentris Specialty Group

  • Specialist
  • Hammond, LA
  • NPI 1568793750

  MS, TN

  Medicare reassignment NPD
• Golden Triangle Urgent Care LLC

  • Rural Health Clinic/Center
  • West Point, MS
  • NPI 1104559806

  Family

  NPD
• Collierville Orthopedics and

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Collierville, TN
  • NPI 1003855420
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1093774267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041089",
            "telephone_number": "985-892-7070",
            "fax_number": "985-892-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SOUTHCREST CIR STE 212",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716721",
            "telephone_number": "662-245-5270",
            "fax_number": "662-351-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARY",
        "middle_name": "BRETT",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R855665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126816",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midsouth Interventional Pain Institute, LLC
• Midsouth Medicine
• Midsouth Pain Treatment Center
• Charity Barringer Milam, C.N.P
• Peyton Miles
• Paula R Miller, APRN
• Sarah Katherine Mills, OTR/L
• Sohail A Minhas, MD
• Elizabeth E Mink, DPT
• Fatima Mir

• Family Nurse Practitioner in Southaven, MS
• Providers in Southaven, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.