Individual provider Active NPI

Monica Roshail Magee, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Magnolia, MS
National Provider Identifier
1164092201
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904622 Issued in MS
Practice address
111 Magnolia St
Magnolia, MS 39652-2825
Phone
(601) 783-2374
Fax
(601) 783-5126
NPI assigned
Jun 30, 2021
Last updated
Jun 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 865518 MS
Family Nurse Practitioner 363LF0000X 904622 MS Primary

Addresses

Primary practice location

111 Magnolia St
Magnolia, MS 39652-2825

Mailing address

73 Sanders Dr
Columbia, MS 39429-9016
Phone (160) 441-5326

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
I20210803003936 MS Practitioner - Nurse Practitioner 4789088352 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Truhealth LLCGroup PAC ID 2163653478, 43 clinicians

Practice addresses (Care Compare)

1506 N Main St
Columbia, MS 39429-2070
Phone (601) 736-9557

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
865518MSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lampton Medical Associates, P.a. Family CurrentSince Jul 1, 2021 Accepting new patients
Forrest County General Hospital CurrentSince Sep 19, 2023 Accepting new patients
Forrest County General Hospital CurrentSince Sep 19, 2023 Accepting new patients
Forrest County General Hospital Current Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Sep 1, 2021 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

1506 N Main St
Columbia, MS 39429
Phone (601) 735-9557

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

111 Magnolia St
Magnolia, MS 39652
Phone (601) 783-2353

1017 W Beacon St
Philadelphia, MS 39350
Phone (769) 200-0730

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

Organizations & group practices 7

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1164092201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 SANDERS DR",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394299016",
            "telephone_number": "160-441-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MAGNOLIA ST",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "396522825",
            "telephone_number": "601-783-2374",
            "fax_number": "601-783-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGEE",
        "first_name": "MONICA",
        "middle_name": "ROSHAIL",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "865518",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, MS

Sources for this page

Verify at the official NPI Registry.