Individual provider Active NPI

Marketia Morrow, FNP-BC, FNP-C

  • Family Nurse Practitioner
  • Southaven, MS
National Provider Identifier
1174236392
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905728 Issued in MS
Practice address
1730 Dorchester Dr
Southaven, MS 38671-5723
Phone
(731) 394-1145
NPI assigned
Jan 3, 2023
Last updated
Jan 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 905728 MS Primary

Addresses

Primary practice location

1730 Dorchester Dr
Southaven, MS 38671-5723

Mailing address

PO Box 19599
Belfast, ME 04915-4090

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
I20230117001063 MS Practitioner - Nurse Practitioner 4082085790 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Health Corp of Houston, Inc.Group PAC ID 0042102352, 10 clinicians
Progressive Health of Houston LLCGroup PAC ID 0143662429, shared by 4 NPIs, 17 clinicians
Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Practice addresses (Care Compare)

1002 E Madison St
Houston, MS 38851-2428

1730 Dorchester Dr
Southaven, MS 38671-5723
Phone (731) 394-1145

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Jan 9, 2023 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Jan 9, 2023 Accepting new patients
Strategic Solutions-Panola Medical Center LLC Current Accepting new patients
Ultra Health LLC CurrentSince Jan 4, 2023 Accepting new patients
Diversicare of Southaven, LLC Past Accepting new patients

Locations

255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163

303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155

156 E Walnut Ave
Eupora, MS 39744
Phone (662) 258-8293

1220 E Northside Dr
Ste 170
Jackson, MS 39211
Phone (601) 613-6268

1730 Dorchester Dr
Southaven, MS 38671
Phone (662) 226-2442

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1174236392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19599",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 DORCHESTER DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715723",
            "telephone_number": "731-394-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORROW",
        "first_name": "MARKETIA",
        "credential": "FNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.