Individual provider Active NPI

Mary K Atkinson-Smith, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Starkville, MS
National Provider Identifier
1649415431
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
850904 Issued in MS
Practice address
100 Wilburn Way
Starkville, MS 39759-3692
Phone
(662) 320-4008
Fax
(662) 323-0029
NPI assigned
Dec 8, 2008
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R850904 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 850904 MS Primary

Addresses

Primary practice location

100 Wilburn Way
Starkville, MS 39759-3692

Mailing address

100 Wilburn Way
Starkville, MS 39759-3692
Phone (662) 320-4008

Other practice location 1

117 Park Circle Dr
Flowood, MS 39232-8878
Phone (601) 313-9083

Other identifiers 2

IdentifierTypeStateIssuer
03554299MedicaidMS
04738268MedicaidMS

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
I20041214000107 MS Practitioner - Nurse Practitioner 4486611282 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R850904MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Terra Medical Group, LLC CurrentSince Mar 3, 2026 Accepting new patients
Central Surgical Associates PLLC CurrentSince Jan 1, 2026 Accepting new patients
Mississippi Rheumatology and Osteoporosis Center PLLC PastSince Jun 12, 2017 Accepting new patients
Arthritis, Osteoporosis Treatment and Research Center PLLC PastSince May 20, 1998 Accepting new patients

Locations

1190 N State St
Ste 502
Jackson, MS 39202
Phone (601) 944-1781

1520 Highland Colony Pkwy
Madison, MS 39110
Phone (601) 421-6189

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDBED/Endpoint/JGDBED
  • FHIR API: https://rxedi.bmhcc.org/prd-fhir/CSA/api/FHIR/R4

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

NPI Registry JSON

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1649415431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILBURN WAY",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593692",
            "telephone_number": "662-320-4008",
            "fax_number": "662-323-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILBURN WAY",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593692",
            "telephone_number": "662-320-4008",
            "fax_number": "662-323-0029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Park Circle Dr",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392328878",
            "country_code": "US",
            "telephone_number": "601-313-9083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATKINSON-SMITH",
        "first_name": "MARY",
        "middle_name": "K",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R850904",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "850904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03554299",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04738268",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.