Individual provider Active NPI

Maggie A Dawson, FNP

  • Family Nurse Practitioner
  • Morton, MS
National Provider Identifier
1306195565
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R746447 Issued in MS
Practice address
321 Highway 13 S
Morton, MS 39117-3353
Phone
(601) 732-8612
Fax
(601) 732-1957
NPI assigned
Sep 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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 R746447 MS Primary

Addresses

Primary practice location

321 Highway 13 S
Morton, MS 39117-3353

Mailing address

PO Box 2065
Meridian, MS 39302-2065
Phone (601) 703-4282

Other identifiers 1

IdentifierTypeStateIssuer
02080388MedicaidMS

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
I20130326000011 MS Practitioner - Nurse Practitioner 5890930846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Healthcare Management IncGroup PAC ID 0840197232, 32 clinicians

Practice addresses (Care Compare)

505 Airport Rd
Suite D
Forest, MS 39074-4033
Phone (601) 333-0947

Hospital & facility affiliations

  • Accentcare Home Health of Carthage Home health agency, Carthage, MS, CCN 257129
  • Centerwell Home Health Home health agency, Flowood, MS, CCN 257126
  • S E Lackey Memorial Hospital Hospital, Forest, MS, CCN 251300
  • Ochsner Scott Regional Hospital, Morton, MS, CCN 251323

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Healthcare Management, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince May 2, 2022 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince May 2, 2022 Accepting new patients

Locations

505 Airport Rd
Ste B
Forest, MS 39074
Phone (601) 469-4771

330 N Broad St
#S
Forest, MS 39074
Phone (601) 469-4151

330 N Broad St
Forest, MS 39074
Phone (601) 469-4151

376 Simpson Highway 149
Ste 300
Magee, MS 39111
Phone (601) 721-8985

110 Pioneer Way
Magee, MS 39111

Interoperability endpoints

  • Direct secure messaging: maggie.dawson@phspch.eclinicaldirectplus.com

Organizations & group practices 3

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": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1306195565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2065",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393022065",
            "telephone_number": "601-703-4282",
            "fax_number": "601-703-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 HIGHWAY 13 S",
            "city": "MORTON",
            "state": "MS",
            "postal_code": "391173353",
            "telephone_number": "601-732-8612",
            "fax_number": "601-732-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "MAGGIE",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R746447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02080388",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton, MS

Sources for this page

Verify at the official NPI Registry.