NPIMap

Individual provider Active NPI

Mary E Clawson, M.D.

  • Internal Medicine Physician
  • Bay Springs, MS
National Provider Identifier
1194825513
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12098 Issued in MS
Practice address
Family Medical Clinic
20 South 6TH Street
Bay Springs, MS 39422
Phone
(601) 764-4494
Fax
(601) 764-4649
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12098 MS Primary
Pediatrics Physician 208000000X 12098 MS

Addresses

Primary practice location

Family Medical Clinic
20 South 6TH Street
Bay Springs, MS 39422

Mailing address

PO Box 1282
Bay Springs, MS 39422-1282
Phone (601) 764-2050

Other identifiers 2

IdentifierTypeStateIssuer
043099OtherMSUNITED HEALTH CARE
00115455MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126000700 MS Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4082893714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Mississippi School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jasper General HospitalGroup PAC ID 1052487105, 10 clinicians

Practice addresses (Care Compare)

27 S 6TH St
Bay Springs, MS 39422-9052
Phone (601) 764-2155

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jasper General Hospital Current Accepting new patients
Jasper General Hospital CurrentSince Nov 27, 2012 Accepting new patients
Jasper General Hospital Past Accepting new patients
Jasper County Nursing Home Past Accepting new patients

Locations

15 S Sixth St
#A
Bay Springs, MS 39422
Phone (601) 764-2101

20 S Sixth St
Bay Springs, MS 39422
Phone (601) 764-4494

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/jasper-5bfe62f3

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1194825513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1282",
            "city": "BAY SPRINGS",
            "state": "MS",
            "postal_code": "394221282",
            "telephone_number": "601-764-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FAMILY MEDICAL CLINIC",
            "address_2": "20 SOUTH 6TH STREET",
            "city": "BAY SPRINGS",
            "state": "MS",
            "postal_code": "39422",
            "telephone_number": "601-764-4494",
            "fax_number": "601-764-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAWSON",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "12098",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "12098",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "043099",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115455",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Springs, MS

Sources for this page

Verify at the official NPI Registry.