Active NPI
Mary K Atkinson-Smith, CNP
- Psychiatric/Mental Health Nurse Practitioner
- Starkville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 850904
- 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, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03554299 | Medicaid | MS | |
| 04738268 | Medicaid | MS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R850904 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terra Medical Group, LLC | Current | Accepting new patients | |
| Central Surgical Associates PLLC | Current | Accepting new patients | |
| Mississippi Rheumatology and Osteoporosis Center PLLC | Past | Accepting new patients | |
| Arthritis, Osteoporosis Treatment and Research Center PLLC | Past | 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
- https://fhir4.healow.com/fhir/r4/JGDBED/Endpoint/JGDBED
- 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.
-
- Surgery Physician
- Jackson, MS
- NPI 1639295009
-
- Family Medicine Physician
- Madison, MS
- NPI 1508724154
-
- Specialist
- Flowood, MS
- NPI 1477693299
-
- Rheumatology Physician
- Flowood, MS
- NPI 1275062648
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.