Individual provider Active NPI

Marcenia Aldridge, CNFP

  • Family Nurse Practitioner
  • Summit, MS
National Provider Identifier
1508815713
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R749464 Issued in MS
Practice address
802 W Railroad Ave
Summit, MS 39666-9489
Phone
(601) 250-4420
Fax
(601) 250-4421
NPI assigned
May 8, 2006
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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 R749464 MS Primary

Addresses

Primary practice location

802 W Railroad Ave
Summit, MS 39666-9489

Mailing address

PO Box 490
McComb, MS 39649-0490
Phone (601) 250-4366

Other practice location 1

1506 Aston Ave
McComb, MS 39648-2735
Phone (601) 249-4415

Other practice location 2

200 Marion Ave
McComb, MS 39648-2706
Phone (601) 250-4381

Other identifiers 1

IdentifierTypeStateIssuer
00125563MedicaidMS

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
I20090616000379 MS Practitioner - Nurse Practitioner 9739239641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

205 Marion Ave
McComb, MS 39648-2705
Phone (601) 684-9116

215 Marion Ave
McComb, MS 39648-2705
Phone (601) 249-1382

300 Rawls Dr
McComb, MS 39648-2877
Phone (601) 684-2481

802 W Railroad Ave
Summit, MS 39666-9489
Phone (601) 250-4420

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.09 of 100Reported as apm
Quality
73.43
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R749464MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Mississippi Regional Medical Center CurrentSince Mar 16, 2013 Accepting new patients
Southwest Mississippi Regional Medical Center CurrentSince Jul 13, 2025 Accepting new patients
Southwest Mississippi Regional Medical Center CurrentSince Mar 16, 2013 Accepting new patients
Southwest Mississippi Regional Medical Center Current Accepting new patients
Southwest Ms Regional Medical Center Past Accepting new patients
Gulfport Emergency Physicians Past Accepting new patients

Locations

602 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-5756

1506 Aston Ave
McComb, MS 39648
Phone (601) 249-4282

1506 Harrison Ave
McComb, MS 39648
Phone (601) 249-2142

200 Marion Ave
McComb, MS 39648
Phone (601) 250-4381

215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180

300 Rawls Dr
Ste 1500
McComb, MS 39648
Phone (601) 249-2142

300 Rawls Dr
Ste 600
McComb, MS 39648
Phone (601) 249-2701

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1508815713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396490490",
            "telephone_number": "601-250-4366",
            "fax_number": "601-250-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W RAILROAD AVE",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396669489",
            "telephone_number": "601-250-4420",
            "fax_number": "601-250-4421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1506 Aston Ave",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "396482735",
            "country_code": "US",
            "telephone_number": "601-249-4415",
            "fax_number": "601-249-4474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Marion Ave",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "396482706",
            "country_code": "US",
            "telephone_number": "601-250-4381",
            "fax_number": "601-250-4367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALDRIDGE",
        "first_name": "MARCENIA",
        "name_prefix": "Prof.",
        "credential": "CNFP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R749464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125563",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, MS

Sources for this page

Verify at the official NPI Registry.