Active NPI
Henry Grady Marlow III, M.D.
- Family Medicine Physician
- Byhalia, MS
National Provider Identifier
1154325801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 07889
- Practice address
- 12 East Brunswick
Byhalia, MS 38611-0698 - Phone
- (662) 838-2163
- Fax
- (662) 838-7944
- NPI assigned
- Jun 10, 2005
- Sex
- Male
- 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 Medicine Physician | 207Q00000X | 07889 | MS | Primary |
Addresses
Primary practice location
12 East Brunswick
Byhalia, MS 38611-0698
Mailing address
PO Box 698
Byhalia, MS 38611-0698
Phone (662) 838-2163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00117939 | Medicaid | MS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07889 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Hospital-Desoto, Inc, | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154325801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 698",
"city": "BYHALIA",
"state": "MS",
"postal_code": "386110698",
"telephone_number": "662-838-2163",
"fax_number": "662-838-7944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 EAST BRUNSWICK",
"city": "BYHALIA",
"state": "MS",
"postal_code": "386110698",
"telephone_number": "662-838-2163",
"fax_number": "662-838-7944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARLOW",
"first_name": "HENRY",
"middle_name": "GRADY",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "07889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00117939",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Byhalia, MS
- Tamela Lashaun Jones
- Ellouise Marie Knox, FNP
- Hannah Losapio, FNP-BC, PMHNP-BC
- Heather Lucas, NP
- Jasmine Monique Mack, DDS
- Robert Lee McLeroy
- Mobile-Med Work Health Solutions, Inc. (Work Health Solutions)
- Rochelle Encarnacion Morris
- Nikisha Newsom, FNP
- Nexion Health at Byhalia, Inc. (Great Oaks Rehabilitation and Healthcare Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.