Individual provider Active NPI

Mary Elizabeth Lindsey, D.O.

  • Rheumatology Physician
  • Pascagoula, MS
National Provider Identifier
1508208992
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
24291 Issued in MS
Practice address
3101 Denny Ave Ste 240
Pascagoula, MS 39581-5307
Phone
(228) 696-9995
Fax
(228) 696-9906
NPI assigned
Jul 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 24291 MS Primary

Addresses

Primary practice location

3101 Denny Ave Ste 240
Pascagoula, MS 39581-5307

Mailing address

2101 Highway 90
Gautier, MS 39553-5340

Other identifiers 2

IdentifierTypeStateIssuer
100211045MedicaidMS
09677843MedicaidMS

Other names 1

  • Mary Elizabeth Bridges Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180720002821 MS Practitioner - Internal Medicine 5698061653 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

Practice addresses (Care Compare)

3101 Denny Ave
Pascagoula, MS 39581-5307
Phone (228) 872-8768

Hospital & facility affiliations

  • Singing River Health System Hospital, Pascagoula, MS, CCN 250040
  • Singing River Gulfport Hospital, Gulfport, MS, CCN 250123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
24291MSMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Specialty Clinic CurrentSince Aug 31, 2018 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Nephrology Clinic Current Accepting new patients
Singing River Gulfport CurrentSince Aug 28, 2023 Accepting new patients
Singing River Health System CurrentSince Jul 19, 2023 Accepting new patients
Singing River Health System Internal Medicine Past Accepting new patients

Locations

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

401 Alcorn Dr
Ste 2C
Corinth, MS 38834
Phone (662) 286-9255

3704 Highway 72 W
Corinth, MS 38834
Phone (662) 286-1499

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

3603 Bienville Blvd
Ste 203
Ocean Springs, MS 39564
Phone (228) 872-8768

3101 Denny Ave
Ste 240
Pascagoula, MS 39581
Phone (228) 696-9995

3101 Denny Ave
#240
Pascagoula, MS 39581
Phone (228) 872-8768

Interoperability endpoints

  • Direct secure messaging: marylindsey@magnolia.medalliesdirect.net

Organizations & group practices 6

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 3

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": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1508208992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535340",
            "fax_number": "662-293-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 DENNY AVE STE 240",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815307",
            "telephone_number": "228-696-9995",
            "fax_number": "228-696-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MS",
            "license": "24291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100211045",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09677843",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BRIDGES",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.