Active NPI
Mary E Abrams, CFNP
- Nurse Practitioner
- Columbus, MS
National Provider Identifier
1376620849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R860229
- Practice address
- 600 Leigh Dr
Columbus, MS 39705-3014 - Phone
- (662) 327-7525
- Fax
- (662) 243-2252
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R860229 | MS | Primary |
Addresses
Primary practice location
600 Leigh Dr
Columbus, MS 39705-3014
Mailing address
600 Leigh Dr
Columbus, MS 39705-3014
Phone (662) 327-7525
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05736588 | Medicaid | MS | |
| 730-14631 | Other | MS | BCBS OF ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R860229 | MS | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376620849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 LEIGH DR",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397053014",
"telephone_number": "662-327-7525",
"fax_number": "662-243-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 LEIGH DR",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397053014",
"telephone_number": "662-327-7525",
"fax_number": "662-243-2252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMS",
"first_name": "MARY",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R860229",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05736588",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "730-14631",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.