Deanna Mackie, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R658723 Issued in MS

Practice address

2610 S Lamar Blvd
Oxford, MS 38655-5243

Phone

(622) 234-1731

Fax

(662) 236-2392

NPI assigned

Oct 6, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deanna.mackie.1@28954.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/16415/brand/2/csg/1/fhir/r4

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.

• Southern Women'S Health, PLLC

  • Obstetrics Physician
  • Jackson, MS
  • NPI 1174744379
  NPD
• Southern Women'S Health, PLLC

  • Obstetrics & Gynecology Physician
  • Ellisville, MS
  • NPI 1407235971
  NPD
• Oxford Obstetrics & Gynecology Associates

  • Medical Specialty Clinic/Center
  • Oxford, MS
  • NPI 1730280066
  NPD (past)
• Memphis Obstetrics and Gynecological Association PC

  • Obstetrics & Gynecology Physician
  • Bartlett, TN
  • NPI 1306884911
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1225026032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555243",
            "telephone_number": "622-234-1731",
            "fax_number": "662-236-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555243",
            "telephone_number": "622-234-1731",
            "fax_number": "662-236-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKIE",
        "first_name": "DEANNA",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R658723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123497",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyndsay R Shipp MD PLLC
• Melissa Cornelius Lyons, LMSW
• M&S Medical
• Danielle Maack, PH.D.
• Kaitlyn Rose Maccharles
• Melody Madaris, MRC, CRC
• Jerry M Madden, M.ED. LPC
• Michael Jeffery Magee II, MD
• Reginald E Magee Jr., LMSW
• Magnolia Care LLC

• Family Nurse Practitioner in Oxford, MS
• Providers in Oxford, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.