Mary M Adams, PA-C
Individual provider Active NPI Physician Assistant · Ocean Springs, MS
NPI 1104570738 · NPPES record last updated May 10, 2023
Key facts
- NPI
- 1104570738
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA00637 (MS)
- Practice address
- 3603 Bienville Blvd Ste 102
Ocean Springs, MS 39564-5736 - Phone
- (228) 818-9620
- Fax
- (228) 818-9750
- NPI assigned
- Feb 11, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Singing River Health System
Practice addresses (Care Compare)
3603 Bienville Blvd
Ocean Springs, MS 39564-5727
Phone (228) 872-8768
7001 Hwy 614
Coastal Ambulatory Services
Hurley, MS 39555-5340
Phone (228) 588-6622
Hospital & facility affiliations
- Singing River Health System
- Singing River Gulfport
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220419000367 | MS | Practitioner - Physician Assistant | 6507253762 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00637 | MS | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singing River Gulfport | Current |
Accepting new patients | |
| Singing River Health System | Current |
Accepting new patients |
Locations
2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576
350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054
3603 Bienville Blvd
Ste 102
Ocean Springs, MS 39564
Phone (228) 818-9620
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA00637 | MS | |
| Physician Assistant | 363A00000X | PA00637 | MS | Yes |
Addresses
Primary practice location
3603 Bienville Blvd Ste 102
Ocean Springs, MS 39564-5736
Mailing address
2101 Highway 90
Gautier, MS 39553-5340
Phone (228) 497-7576
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00088561 | Medicaid | MS |
Other names
- Mary M Case
Other providers in Ocean Springs, MS
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All providers in Ocean Springs, MS · Physician Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.