Active NPI
Peggy L. Mayberry, LCSW
- Case Manager/Care Coordinator
- Natchez, MS
National Provider Identifier
1780824276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- C1997
- Practice address
- 54 Sergeant Prentiss Dr
Natchez, MS 39120-4726 - Phone
- (601) 443-2139
- NPI assigned
- Feb 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | C1997 | MS | Primary |
Addresses
Primary practice location
54 Sergeant Prentiss Dr
Natchez, MS 39120-4726
Mailing address
54 Sergeant Prentiss Dr
Natchez, MS 39120-4726
Phone (601) 443-2139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1997 | MS | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235433600000",
"number": "1780824276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 SERGEANT PRENTISS DR",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391204726",
"telephone_number": "601-443-2139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 SERGEANT PRENTISS DR",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391204726",
"telephone_number": "601-443-2139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYBERRY",
"first_name": "PEGGY",
"middle_name": "L.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-24",
"last_updated": "2009-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MS",
"license": "C1997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Natchez, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.