Individual provider Active NPI

Marecia Mreana Spearman

  • Psychiatric/Mental Health Nurse Practitioner
  • Olive Branch, MS
National Provider Identifier
1114611209
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
906003 Issued in MS
Practice address
5859 Shiloah CV S
Olive Branch, MS 38654-3054
Phone
(662) 832-1724
NPI assigned
Jun 2, 2023
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 906003 MS Primary

Addresses

Primary practice location

5859 Shiloah CV S
Olive Branch, MS 38654-3054

Mailing address

901 Bonnie Blue Dr
Oxford, MS 38655-6199

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230821001550 MS Practitioner - Nurse Practitioner 5890157077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

152 Hwy 7 S
Communicare
Oxford, MS 38655-5392
Phone 662234752136

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMK Enterprises Psychiatric/Mental Health CurrentSince Dec 6, 2023 Accepting new patients
North Mississippi Commission on Mental Illness/Mental Retardation CurrentSince Jul 14, 2023 Accepting new patients
North Mississippi Commission on Mental Illness/Mental Retardation CurrentSince Jul 14, 2023 Accepting new patients

Locations

152 Highway 7 S
Oxford, MS 38655
Phone (662) 234-7237

1305 City Ave N
Ripley, MS 38663
Phone (662) 372-3495

5699 Getwell Rd
Bldg F4
Southaven, MS 38672
Phone (662) 372-3495

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1114611209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BONNIE BLUE DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386556199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5859 SHILOAH CV S",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543054",
            "telephone_number": "662-832-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARMAN",
        "first_name": "MARECIA",
        "middle_name": "MREANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "906003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

Verify at the official NPI Registry.