Maylen Musgrove Brady, PA-C
Individual provider Active NPI Physician Assistant · Laurel, MS
NPI 1871001685 · NPPES record last updated Apr 9, 2026
Key facts
- NPI
- 1871001685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA00354 (MS)
- Practice address
- 1706 W 10TH St
Laurel, MS 39440-2557 - Phone
- (601) 554-7400
- Fax
- (601) 554-7499
- NPI assigned
- Jan 15, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Bone and Joint Specialists, PA
Practice addresses (Care Compare)
1215 Hwy 98 Byp
Columbia, MS 39429-3702
Phone (601) 554-7400
3688 Veterans Memorial Dr
Suite 200
Hattiesburg, MS 39401-8246
Phone (601) 554-7400
Hospital & facility affiliations
- South Central Reg Med Ctr
- Wayne General Hospital
- Jasper General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180712000469 | TN | Practitioner - Physician Assistant | 1951657527 | Reassigns benefits to 2 organizations |
| I20220215000780 | MS | Practitioner - Physician Assistant | 1951657527 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Bone & Joint Specialists | Current |
Accepting new patients | |
| Southern Bone & Joint Specialists, PA | Past |
Accepting new patients |
Locations
1215 Highway 98 Byp
Columbia, MS 39429
Phone (601) 268-5070
3688 Veterans Memorial Dr
Ste 200
Hattiesburg, MS 39401
Phone (601) 554-7451
528 N 15th Ave
Ste A
Laurel, MS 39440
1706 W 10th St
Laurel, MS 39440
Phone (601) 682-0455
Interoperability endpoints
- maylen.brady.p1@direct.southernboneandjoint.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00354 | MS | Yes |
Addresses
Primary practice location
1706 W 10TH St
Laurel, MS 39440-2557
Mailing address
3688 Veterans Memorial Dr Ste 200
Hattiesburg, MS 39401-8246
Phone (601) 554-7400
Other practice location 1
3688 Veterans Memorial Dr Ste 200
Hattiesburg, MS 39401-8246
Phone (601) 554-7400
Other providers in Laurel, MS
- Jeanine Boykin
- Brad Holifield, D.M.D., P.a.
- Jessica Rose Braddock
- Sheila Diane Bradford
- Judith Lynn Bradley
- Branch of Love
- Howard K Brashiner
- Adonnis Breland
- Jordan Brewer
- Madison Carol Brewer
All providers in Laurel, MS · Physician Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.