Individual provider Active NPI

Mary Anne Marcy, APRN

  • Family Nurse Practitioner
  • Holly Springs, MS
National Provider Identifier
1861452401
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R866369 Issued in MS
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

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140131001050 MS Practitioner - Nurse Practitioner 3072742618 Reassigns benefits to 2 organizations

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
Honeycomb Medical Group PLCGroup PAC ID 2668837204, 16 clinicians

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

LicenseStateTypeSpecialty
R866369MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Segue Health of Mississippi LLC CurrentSince Dec 9, 2019 Accepting new patients
Honeycomb Medical Group PLC CurrentSince Feb 1, 2024 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

  • FHIR API: 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.