Melissa J Thierry, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00343 Issued in MS

Practice address

3109 Shortcut Rd
Pascagoula, MS 39567-1811

Phone

(228) 202-5182

Fax

(228) 202-5184

NPI assigned

Sep 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Dermatology Clinic, PLLCGroup PAC ID 8123129673, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Singing River Health System Hospital, Pascagoula, MS, CCN 250040

Merit-based Incentive Payment System (MIPS)

Final score

83.93 of 100Reported as group

Quality

76.77

Promoting interoperability

89

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: mthierry@directaddress.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.

• The Dermatology Clinic, PLLC

  • Dermatology Physician
  • Gulfport, MS
  • NPI 1720284946
  Medicare reassignment Care Compare group
• Skin in the Game, PLLC

  • Dermatology Physician
  • Gautier, MS
  • NPI 1760043046
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Singing River Health System

  • Multi-Specialty Clinic/Center
  • Gautier, MS
  • NPI 1083893937

  Hospital

  Care Compare affiliation
• Singing River Health System

  • General Acute Care Hospital
  • Pascagoula, MS
  • NPI 1124136593
  Care Compare affiliation

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1841541158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3488",
            "address_2": "DEPT 05-115",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388033488",
            "telephone_number": "888-818-0563",
            "fax_number": "228-284-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 SHORTCUT RD",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395671811",
            "telephone_number": "228-202-5182",
            "fax_number": "228-202-5184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1157 First Colonial Rd",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234542432",
            "country_code": "US",
            "telephone_number": "757-333-8001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Marks Rd",
            "address_purpose": "LOCATION",
            "city": "Ocean Springs",
            "state": "MS",
            "postal_code": "395644350",
            "country_code": "US",
            "telephone_number": "228-202-5152",
            "fax_number": "228-202-5184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3109 Shortcut Rd",
            "address_purpose": "LOCATION",
            "city": "Pascagoula",
            "state": "MS",
            "postal_code": "395671811",
            "country_code": "US",
            "telephone_number": "228-864-3300",
            "fax_number": "228-864-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIERRY",
        "first_name": "MELISSA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003996",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MS",
            "license": "PA00343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Al Temple III, LPC, NCC, NCSC
• Julie Thai, PHARM. D.
• The Beauty Mark. by MD., LLC
• The Gift of Loving Hands LLC
• The Heart Center, P.L.L.C
• Deborah Thompson-Lee
• Ashley Nicole Thompson
• Ryan Thompson, OT
• Tayler Alexis Tingle Stevens
• Tawana Todd, CMHT

• Medical Physician Assistant in Pascagoula, MS
• Providers in Pascagoula, MS by specialty
• Medical Physician Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.