Individual provider Active NPI

Judy Gayle Mosby, FNP

  • Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1922181932
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R516821 Issued in MS
Practice address
1001 14TH Street
Meridian, MS 39302-0000
Phone
(800) 897-6169
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R516821 MS Primary

Addresses

Primary practice location

1001 14TH Street
Meridian, MS 39302-0000

Mailing address

PO Box 649106
Dallas, TX 75264-9106
Phone (601) 482-9224

Other practice location 1

2124 14th St
Meridian, MS 39301-4040
Phone (601) 553-6000

Other practice location 2

1003 Holland Ave Ste 103
Philadelphia, MS 39350-2180
Phone (601) 482-9224

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
I20070905000718 MS Practitioner - Nurse Practitioner 8022101112 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Pain Associates, PLLCGroup PAC ID 1456328210, 10 clinicians
Medical Services of Meridian IncGroup PAC ID 7315285376, 12 clinicians
Bear Creek Emergency Group LLCGroup PAC ID 8820587629, 33 clinicians

Practice addresses (Care Compare)

1001 14TH St
Meridian, MS 39301-4458
Phone (601) 482-9224

2124 14TH St
Meridian, MS 39301-4040
Phone (601) 553-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.61 of 100Reported as group
Quality
74.48
Promoting interoperability
95
Improvement activities
40
Cost
55.04

Merit-based Incentive Payment System (MIPS)

Final score
58.75 of 100Reported as group
Quality
26.99
Improvement activities
40
Cost
71.92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Physician Alliance, Inc CurrentSince Mar 13, 2025 Accepting new patients
Medical Services of Meridian, Inc. CurrentSince Mar 15, 2019 Accepting new patients
Bear Creek Emergency Group LLC Nurse Practitioner CurrentSince Dec 2, 2025 Accepting new patients
Urology Clinic of Meridian, P.a. Current Accepting new patients
Anderson Physician Alliance, Inc. CurrentSince Mar 13, 2025 Accepting new patients
Southern Pain Associates, PLLC CurrentSince Jul 1, 2007 Accepting new patients
Mississippi Band of Choctaw Indians Past Accepting new patients
Flowood Pain Center, LLC PastSince Aug 19, 2024 Accepting new patients
Total Pain Care LLC Past Accepting new patients

Locations

1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322

1001 14th St
Meridian, MS 39301
Phone (601) 482-9224

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

1003 Holland Ave
Ste 103
Philadelphia, MS 39350
Phone (601) 482-9224

Interoperability endpoints

  • Direct secure messaging: gmosby629082@direct.bmhcc.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/EEHEBD

Organizations & group practices 9

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1922181932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752649106",
            "telephone_number": "601-482-9224",
            "fax_number": "601-482-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 14TH STREET",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393020000",
            "telephone_number": "800-897-6169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2124 14th St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014040",
            "country_code": "US",
            "telephone_number": "601-553-6000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 Holland Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "MS",
            "postal_code": "393502180",
            "country_code": "US",
            "telephone_number": "601-482-9224",
            "fax_number": "601-482-9223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSBY",
        "first_name": "JUDY",
        "middle_name": "GAYLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R516821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.