Carrie Grace Fairley, CPSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

57 Industrial Park Rd
Lucedale, MS 39452-6583

Phone

(601) 495-3010

NPI assigned

Sep 30, 2026

Last updated

Sep 30, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1427962125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 INDUSTRIAL PARK RD",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 INDUSTRIAL PARK RD",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526583",
            "telephone_number": "601-495-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRLEY",
        "first_name": "CARRIE",
        "middle_name": "GRACE",
        "credential": "CPSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lendon L Elmore
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• Ashley Nicole Eubanks, PHARMD
• Eugene Kevin Ohea Dr E Kevin Ohea (E. Kevin O'Hea MD Family Practice)
• Eye Care Center
• Afton Andrews Farris, OT
• Rose Flowers, AGACNP-BC
• Jami S. Fortner
• Bonita Foster, MSW
• Freds Stores of Tennessee Inc (Freds Pharmacy 2229)

• Peer Specialist in Lucedale, MS
• Providers in Lucedale, MS by specialty
• Peer Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.