Monica Roshail Magee, NURSE PRACTITIONER
Individual provider Active NPI Family Nurse Practitioner · Magnolia, MS
NPI 1164092201 · NPPES record last updated Jun 30, 2021
Key facts
- NPI
- 1164092201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 904622 (MS)
- Practice address
- 111 Magnolia St
Magnolia, MS 39652-2825 - Phone
- (601) 783-2374
- Fax
- (601) 783-5126
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Truhealth LLC
Practice addresses (Care Compare)
1506 N Main St
Columbia, MS 39429-2070
Phone (601) 736-9557
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 |
|---|---|---|---|---|
| I20210803003936 | MS | Practitioner - Nurse Practitioner | 4789088352 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 865518 | MS | MD | Registered Nurse |
| 904622 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forrest County General Hospital | Current | Accepting new patients | |
| Forrest County General Hospital | Current |
Accepting new patients | |
| Forrest County General Hospital | Current |
Accepting new patients | |
| Lampton Medical Associates, P.a. | Family | Current |
Accepting new patients |
| Fast Pace Mississippi, PLLC | Family | Current |
Accepting new patients |
| Fast Pace Mississippi, PLLC | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 865518 | MS | |
| Family Nurse Practitioner | 363LF0000X | 904622 | MS | Yes |
Addresses
Primary practice location
111 Magnolia St
Magnolia, MS 39652-2825
Mailing address
73 Sanders Dr
Columbia, MS 39429-9016
Phone (160) 441-5326
Other providers in Magnolia, MS
- Lampton Medical Associates, P.a.
- Lucius M. Lampton
- George H Leggett
- Kimberly Renee Lemaster
- Angela Francshon Lofton-Varnado
- Magnolia Clinic, Inc.
- Magnolia Family Dental, PLLC
- Magnolia Rehab Company
- Bryan Barret Martin
- Jessica Rene' Mason
All providers in Magnolia, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2021. 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.