Active NPI
Mary Anne Marcy, APRN
- Family Nurse Practitioner
- Holly Springs, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R866369
- Practice address
- 491A Craft St
Holly Springs, MS 38635-3251 - Phone
- (662) 252-6416
- Fax
- (662) 252-3355
- NPI assigned
- Mar 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R866369 | MS | Primary |
Addresses
Primary practice location
491A Craft St
Holly Springs, MS 38635-3251
Mailing address
491A Craft St
Holly Springs, MS 38635-3251
Phone (662) 252-6416
Other names 1
- Mrs. Mary Anne Kent
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
491 A Craft St
Holly Springs, MS 38635-3251
Phone (901) 322-0728
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R866369 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Segue Health of Mississippi LLC | Current | Accepting new patients | |
| Honeycomb Medical Group PLC | Current | Accepting new patients |
Locations
491A Craft St
Holly Springs, MS 38635
Phone (662) 252-6416
232 Market St
Jackson, MS 39232
Phone (588) 498-6767
6401 Poplar Ave
Ste 604
Memphis, TN 38119
Phone (901) 474-2402
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HDEADD
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Flowood, MS
- NPI 1467989954
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hernando, MS
- NPI 1467826958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1861452401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "491A CRAFT ST",
"city": "HOLLY SPRINGS",
"state": "MS",
"postal_code": "386353251",
"telephone_number": "662-252-6416",
"fax_number": "662-252-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "491A CRAFT ST",
"city": "HOLLY SPRINGS",
"state": "MS",
"postal_code": "386353251",
"telephone_number": "662-252-6416",
"fax_number": "662-252-3355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCY",
"first_name": "MARY",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R866369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "KENT",
"middle_name": "ANNE",
"prefix": "MRS.",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Holly Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.