Mary L Ross, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

R861890 Issued in MS

Practice address

317 Jakes TRL NW
Brookhaven, MS 39601-8632

Phone

(601) 265-2018

Fax

(949) 864-3748

NPI assigned

Sep 22, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Brookhaven Diabetes and Primary Care Clinic

  • Family Nurse Practitioner
  • Brookhaven, MS
  • NPI 1275321754

  Diabetes Educator

  NPD

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1811869498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 JAKES TRL NW",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396018632",
            "telephone_number": "601-265-2018",
            "fax_number": "949-864-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 JAKES TRL NW",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396018632",
            "telephone_number": "601-265-2018",
            "fax_number": "949-864-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MS",
            "license": "R861890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Danielle Robin, LPC
• Arniece Robinson
• Rocky Mountain Holdings, LLC
• Selena Juel Ross-Sills, MS, RDN, LD
• Jeffrey D. Ross, MD
• Benjamin Jacob Rushing, MD
• Tonya M Rushing, FNP-C
• William Rushing Jr., PMHNP-BC
• William Richard Rushing, M.D.
• Earl D Russell Jr., FNP

• Diabetes Educator Registered Nurse in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Diabetes Educator Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.