Malorie Devaughn, ACNPC-AG

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

901724 Issued in MS

Practice address

611 Alcorn Dr
Corinth, MS 38834-9321

Phone

(662) 293-1000

Fax

(662) 293-4323

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Hospitalists of Ms, LLCGroup PAC ID 6709101322, 37 clinicians

Relias Hospitalist Medicine Specialists of Amory LLCGroup PAC ID 0143656165, 15 clinicians

Relias Hospitalist Medicine Specialists of West Point LLCGroup PAC ID 4688002322, 15 clinicians

Relias Hospitalist Medicine Specialists of Pontotoc LLCGroup PAC ID 0143629592, 9 clinicians

Pontotoc Health Services, Inc.Group PAC ID 6002895356, 18 clinicians

RH Hospitalist Medicine of Och Regional LLCGroup PAC ID 8325573074, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Mississippi Medical Center-Gilmore Amory Hospital, Amory, MS, CCN 250025
• Pontotoc Health Service Inc Cah Hospital, Pontotoc, MS, CCN 251308
• Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034
• Clay County Medical Corporation Hospital, West Point, MS, CCN 250067
• North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maloriedevaughn@nmhs.medalliesdirect.net

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.

• Comprehensive Hospitalists of Ms, LLC

  • Hospitalist Physician
  • Amory, MS
  • NPI 1467856385
  Medicare reassignment Care Compare group NPD
• Pontotoc Health Services, Inc.

  dba Pontotoc Health Services CAH

  • Critical Access Hospital
  • Pontotoc, MS
  • NPI 1821103516
  Medicare reassignment Care Compare group NPD
• Relias Hospitalist Medicine Specialists of Amory LLC

  • Hospitalist Physician
  • Amory, MS
  • NPI 1205470796
  Medicare reassignment Care Compare group NPD
• Relias Hospitalist Medicine Specialists of Pontotoc LLC

  • Hospitalist Physician
  • Pontotoc, MS
  • NPI 1972189330
  Medicare reassignment Care Compare group NPD
• Relias Hospitalist Medicine Specialists of West Point LLC

  • Hospitalist Physician
  • West Point, MS
  • NPI 1821638578
  Medicare reassignment Care Compare group NPD
• RH Hospitalist Medicine of Och Regional LLC

  dba OCH Regional Medical Center Hospitalist

  • Hospitalist Physician
  • Starkville, MS
  • NPI 1104652494
  Medicare reassignment Care Compare group NPD
• Magnolia Physician Services, Inc

  • Internal Medicine Physician
  • Corinth, MS
  • NPI 1073827549
  Medicare reassignment NPD
• Relias Emergency Medicine Specialists of Amory, LLC

  • Emergency Medicine Physician
  • Amory, MS
  • NPI 1265074769
  Medicare reassignment NPD
• Relias Emergency Medicine Specialists of Tupelo LLC

  • Emergency Medicine Physician
  • Tupelo, MS
  • NPI 1841664661
  Medicare reassignment NPD
• Relias Emergency Medicine Specialists of West Point, LLC

  • Emergency Medicine Physician
  • West Point, MS
  • NPI 1275172736
  Medicare reassignment NPD
• Relias Hospitalist Medicine Specialists of Tupelo LLC

  • Hospitalist Physician
  • Tupelo, MS
  • NPI 1710622832
  Medicare reassignment NPD
• RH Emergency Medicine of Och Regional LLC

  • Emergency Medicine Physician
  • Starkville, MS
  • NPI 1093532889
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital North Mississippi, Inc

  • General Acute Care Hospital
  • Oxford, MS
  • NPI 1053375576
  Care Compare affiliation
• Clay County Medical Corporation

  dba Clay County Medical Center

  • General Acute Care Hospital
  • West Point, MS
  • NPI 1639284409
  Care Compare affiliation
• Monroe Health Services, Inc.

  dba North Mississippi Medical Center - Gilmore - Amory

  • General Acute Care Hospital
  • Amory, MS
  • NPI 1164993457
  Care Compare affiliation
• North Mississippi Medical Center, Inc.

  dba North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460
  Care Compare affiliation
• Pontotoc Health Services, Inc.

  dba Pontotoc Health Services CAH

  • Critical Access Hospital
  • Pontotoc, MS
  • NPI 1821103516
  Care Compare affiliation

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1174070684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2040",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388352040",
            "telephone_number": "662-293-1000",
            "fax_number": "662-293-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349321",
            "telephone_number": "662-293-1000",
            "fax_number": "662-293-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVAUGHN",
        "first_name": "MALORIE",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "901724",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MS",
            "license": "901724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Robert Davis, MD
• Stephanie Britt Davis
• Kassandra Decker, LPC
• Heather Dawn Denham
• Dental Arts of Corinth
• Alyson Lee Dickerson, CRNA
• Bradley Dillon, NP
• Marty Dilworth, RPH
• Divine Residential Services, LLC
• Traci Dobbs

• Acute Care Nurse Practitioner in Corinth, MS
• Providers in Corinth, MS by specialty
• Acute Care Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.