Individual provider Active NPI

Mark P McLain, MD

  • Psychiatry Physician
  • Ridgeland, MS
National Provider Identifier
1649318486
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
11748 Issued in MS
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

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
11748MOMDPsychiatry Physician
11748MSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Neuropsychiatric Clinic, PLLC Psychiatry CurrentSince Nov 8, 2025 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.

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

Verify at the official NPI Registry.