Active NPI
Maggie A Dawson, FNP
- Family Nurse Practitioner
- Morton, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R746447
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02080388 | Medicaid | MS |
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 |
|---|---|---|---|---|
| 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
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
- Centerwell Home Health
- S E Lackey Memorial Hospital
- Ochsner Scott Regional
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Healthcare Management, Inc. | Current | Accepting new patients | |
| Independent Healthcare Management, Inc. | Current | Accepting new patients | |
| Independent Healthcare Management, Inc. | Current | 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
- 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.
-
- Rural Health Clinic/Center
- Forest, MS
- NPI 1255376729
-
- Rural Health Clinic/Center
- Raleigh, MS
- NPI 1871272724
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Flowood, MS
- NPI 1417935578
-
- Home Health Agency
- Carthage, MS
- NPI 1275674533
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.