Individual provider Active NPI

Marshay Denitria Reeves, NP

  • Family Nurse Practitioner
  • Canton, MS
National Provider Identifier
1871369017
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906329 Issued in MS
Practice address
1668 W Peace St
Canton, MS 39046-5332
Phone
(601) 859-5213
NPI assigned
Nov 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 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 906329 MS Primary

Addresses

Primary practice location

1668 W Peace St
Canton, MS 39046-5332

Mailing address

1668 W Peace St
Canton, MS 39046-5332
Phone (601) 859-5213

Other practice location 1

2500 N State St
Jackson, MS 39216-4500
Phone (601) 613-0525

Other names 1

  • Marshay Denitria Lewis 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
I20240324000120 MS Practitioner - Nurse Practitioner 3971940172 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G a Carmichael Family Health Center, Inc.Group PAC ID 2567371032, 23 clinicians

Practice addresses (Care Compare)

1547 Jerry Clower Blvd
Yazoo City, MS 39194-2718
Phone (601) 859-5213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
906329MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
G a Carmichael Family Health Center. Inc. CurrentSince May 13, 2024 Accepting new patients
G a Carmichael Family Health Center Inc Current Accepting new patients
G a Carmichael Family Health Center, Inc CurrentSince May 13, 2024 Accepting new patients
Signify Health, LLC CurrentSince Feb 11, 2024 Accepting new patients

Locations

1668 W Peace St
Canton, MS 39046
Phone (601) 859-0050

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

1547 Jerry Clower Blvd
Yazoo City, MS 39194
Phone (662) 746-6531

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: marshay.reeves.1@14940.direct.athenahealth.com
  • Direct secure messaging: marshay.lewisnp.p1@direct.gacfhc.nextgenshare.com

Organizations & group practices 4

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": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1871369017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 W PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390465332",
            "telephone_number": "601-859-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 W PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390465332",
            "telephone_number": "601-859-5213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-613-0525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEVES",
        "first_name": "MARSHAY",
        "middle_name": "DENITRIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARSHAY",
            "last_name": "LEWIS",
            "middle_name": "DENITRIA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, MS

Sources for this page

Verify at the official NPI Registry.