Active NPI
Malorie Devaughn, ACNPC-AG
- Acute Care Nurse Practitioner
- Corinth, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 901724
- Practice address
- 611 Alcorn Dr
Corinth, MS 38834-9321 - Phone
- (662) 293-1000
- Fax
- (662) 293-4323
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 901724 | MS | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 901724 | MS |
Addresses
Primary practice location
611 Alcorn Dr
Corinth, MS 38834-9321
Mailing address
PO Box 2040
Corinth, MS 38835-2040
Phone (662) 293-1000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161024002612 | MS | Practitioner - Nurse Practitioner | 3375821457 | Reassigns benefits to 12 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Comprehensive Hospitalists of Ms, LLCRelias Hospitalist Medicine Specialists of Amory LLCRelias Hospitalist Medicine Specialists of West Point LLCRelias Hospitalist Medicine Specialists of Pontotoc LLCPontotoc Health Services, Inc.RH Hospitalist Medicine of Och Regional LLC
Practice addresses (Care Compare)
1100 Belk Blvd
Oxford, MS 38655-5242
Phone (662) 232-8100
1105 Earl Frye Blvd
Amory, MS 38821-5500
Phone (662) 256-7111
150 Medical Ctr Dr
West Point, MS 39773-0428
Phone (662) 495-2300
176 S Main St
Pontotoc, MS 38863-3311
Phone (662) 489-5510
400 Hospital Rd
Starkville, MS 39759-2163
Phone (662) 432-4106
Hospital & facility affiliations
- North Mississippi Medical Center-Gilmore Amory
- Pontotoc Health Service Inc Cah
- Baptist Memorial Hospital North Ms
- Clay County Medical Corporation
- North Mississippi Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
Locations
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
1970 Hospital Dr
Clarksdale, MS 38614
Phone (662) 624-3185
611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961
401 Alcorn Dr
Ste 2D
Corinth, MS 38834
Phone (662) 293-1565
1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000
176 S Main St
Pontotoc, MS 38863
Phone (601) 489-5510
400 Hospital Rd
Starkville, MS 39759
Phone (662) 323-4320
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321
Interoperability endpoints
- maloriedevaughn@nmhs.medalliesdirect.net
Organizations & group practices 20
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Amory, MS
- NPI 1205470796
MS
-
- Hospitalist Physician
- Pontotoc, MS
- NPI 1972189330
MS
-
- Hospitalist Physician
- West Point, MS
- NPI 1821638578
MS
-
- Emergency Medicine Physician
- Amory, MS
- NPI 1265074769
MS
-
- Emergency Medicine Physician
- Tupelo, MS
- NPI 1841664661
MS
-
- Emergency Medicine Physician
- West Point, MS
- NPI 1275172736
MS
-
- Hospitalist Physician
- Tupelo, MS
- NPI 1710622832
MS
-
- Emergency Medicine Physician
- Starkville, MS
- NPI 1093532889
MS
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
Hospital
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
Hospital
NPI Registry JSON
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": []
}Other providers in Corinth, MS
Sources for this page
- 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.