Individual provider Active NPI

Mary Peyton Gupta, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Cordova, TN
National Provider Identifier
1851612931
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
50909 Issued in TN
Practice address
51 Germantown CT Ste 309
Cordova, TN 38018-4290
Phone
(901) 333-0510
NPI assigned
Jun 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 50909 TN Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 26786 MS

Addresses

Primary practice location

51 Germantown CT Ste 309
Cordova, TN 38018-4290

Mailing address

PO Box 381468
Germantown, TN 38183-1468

Other practice location 1

1208 Office Park Dr
Oxford, MS 38655-3597
Phone (662) 234-9888

Other practice location 2

589 Garfield St Ste 201
Tupelo, MS 38801-6301
Phone (662) 680-5565

Other practice location 3

7900 Airways Blvd Ste 101
Southaven, MS 38671-4113
Phone (662) 349-6950

Other identifiers 2

IdentifierTypeStateIssuer
007672279MedicaidMS
Q051547MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190328003064 TN Practitioner - Pathology 8123266145 Reassigns benefits to 1 organization
I20190708000788 MS Practitioner - Pathology 8123266145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Tennessee, HSC, College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Center of the Midsouth PLLCGroup PAC ID 4880619824, 148 clinicians

Practice addresses (Care Compare)

7900 Airways Blvd
Southaven, MS 38671-4113
Phone (662) 349-6950

8000 Wolf River Blvd
Suite 200
Germantown, TN 38138-1755
Phone (901) 684-5503

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
G I Diagnostic and Therapeutic Center LLC Current Accepting new patients
Gastroenterology Center of the Midsouth PLLC Anatomic Pathology & Clinical Pathology CurrentSince May 6, 2019 Accepting new patients
Anesthesia Healthcare Partners of Tennessee PLLC PastSince May 1, 2022 Accepting new patients

Locations

1208 Office Park Dr
Oxford, MS 38655
Phone (662) 234-9888

7900 Airways Blvd
Ste 101
Southaven, MS 38671
Phone (662) 349-6950

7668 Airways Blvd
Bldg 2
Southaven, MS 38671
Phone (901) 766-9490

7900 Airways Blvd
Bldg B100
Southaven, MS 38671
Phone (662) 349-2442

589 Garfield St
Ste 201
Tupelo, MS 38801
Phone (662) 680-5565

Gastro Onegovt Arhcl
New York, NY 10087

51 Germantown Ct
Ste 309
Cordova, TN 38018
Phone (901) 333-0510

2020 Exeter Rd
Germantown, TN 38138
Phone (901) 682-1233

1310 Wolf Park Dr
Germantown, TN 38138
Phone (901) 624-5151

1325 Eastmoreland Ave
Ste 410
Memphis, TN 38104
Phone (901) 261-6650

8000 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 684-5503

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1276300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1851612931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381468",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 GERMANTOWN CT STE 309",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184290",
            "telephone_number": "901-333-0510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1208 Office Park Dr",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386553597",
            "country_code": "US",
            "telephone_number": "662-234-9888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "589 Garfield St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388016301",
            "country_code": "US",
            "telephone_number": "662-680-5565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7900 Airways Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386714113",
            "country_code": "US",
            "telephone_number": "662-349-6950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "MARY",
        "middle_name": "PEYTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-12",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "50909",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MS",
            "license": "26786",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007672279",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q051547",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.