Active NPI
Mark P McLain, MD
- Psychiatry Physician
- Ridgeland, MS
National Provider Identifier
1649318486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 11748
- Practice address
- 625 Highland Colony Parkway
Suite 101
Ridgeland, MS 39157 - Phone
- (601) 853-2676
- Fax
- (601) 853-9535
- NPI assigned
- Feb 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 11748 | MS | Primary |
| Psychiatry Physician | 2084P0800X | 11748 | MO |
Addresses
Primary practice location
625 Highland Colony Parkway
Suite 101
Ridgeland, MS 39157
Mailing address
625 Highland Colony Parkway
Suite 101
Ridgeland, MS 39157
Phone (601) 853-2676
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2013 through Jan 1, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Mississippi Medical College, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
576 Highland Colony Pkwy
Ridgeland, MS 39157-8693
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11748 | MO | MD | Psychiatry Physician |
| 11748 | MS | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Neuropsychiatric Clinic, PLLC | Psychiatry | Current | Accepting new patients |
| Madison Hma LLC | Past | Accepting new patients | |
| North Madison Physician Billing | Past | Accepting new patients | |
| Fawaz Abdrabbo MD | Psychiatry | Past | Accepting new patients |
Locations
576 Highland Colony Pkwy
Ste 100
Ridgeland, MS 39157
Phone (601) 853-2676
625 Highland Colony Pkwy
Ste 101
Ridgeland, MS 39157
Phone (601) 853-2676
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Ridgeland, MS
- NPI 1952503286
-
- Psychiatry Physician
- Ridgeland, MS
- NPI 1285836528
-
- Multi-Specialty Clinic/Center
- Canton, MS
- NPI 1578129177
-
- Emergency Medical Services (Emergency Medicine) Physician
- Canton, MS
- NPI 1487727525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1649318486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 HIGHLAND COLONY PARKWAY",
"address_2": "SUITE 101",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "39157",
"telephone_number": "601-853-2676",
"fax_number": "601-853-9535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 HIGHLAND COLONY PARKWAY",
"address_2": "SUITE 101",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "39157",
"telephone_number": "601-853-2676",
"fax_number": "601-853-9535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAIN",
"first_name": "MARK",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MS",
"license": "11748",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "11748",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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; Opt Out Affidavits.
- 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.