Mary Ann King, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

14668 Issued in MS

Practice address

900 Earl Frye Blvd
Suite a
Amory, MS 38821-5507

Phone

(662) 256-9331

Fax

(662) 597-6009

NPI assigned

Apr 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary_king_md_pediatrician@yourcarecommunity.org
• Direct secure messaging: mary.king.1@20688.direct.athenahealth.com
• Direct secure messaging: maryking@nmhs.medalliesdirect.net

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.

• P & S Clinic OB-GYN PLLC

  • Obstetrics & Gynecology Physician
  • Amory, MS
  • NPI 1538215546

  Pediatrics

  Medicare reassignment NPD
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  NPD
• Monroe Health Services, Inc.

  • General Acute Care Hospital
  • Amory, MS
  • NPI 1164993457
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1730143009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 EARL FRYE BLVD",
            "address_2": "SUITE A",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215507",
            "telephone_number": "662-256-9331",
            "fax_number": "662-597-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 EARL FRYE BLVD",
            "address_2": "SUITE A",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215507",
            "telephone_number": "662-256-9331",
            "fax_number": "662-597-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "14668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126569",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Johnson, MS, CCC-SLP
• Murial Teresa Johnson
• Amanda Jill Kennedy
• Korie Elizabeth Kent, DPT
• Alyson Rae Key, DPT
• Thomas Henry Kloor Jr., MD
• Justin Lee Knight, DPT
• Anna Katherine Kuhn
• Almaz Kurbanov, M.D.
• Laboratory Corporation of America Holdings

• Pediatrics Physician in Amory, MS
• Providers in Amory, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.

Verify at the official NPI Registry.