Active NPI
Raymond K Mahar, NP
- Nurse Practitioner
- Natchez, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 902136
- Practice address
- 54 Sergeant Prentiss Dr
Natchez, MS 39120-4726 - Phone
- (601) 443-2100
- Fax
- (601) 443-2885
- NPI assigned
- Jun 29, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 902136 | MS | Primary |
Addresses
Primary practice location
54 Sergeant Prentiss Dr
Natchez, MS 39120-4726
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
427 Hwy 51 N
Brookhaven, MS 39601-2350
Phone (601) 833-6011
54 Sergeant Prentiss Dr
Natchez, MS 39120-4726
Phone (601) 443-2100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902136 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| App of Mississippi Ed, LLC | Current | Accepting new patients | |
| King'S Daughters Medical Center | Current | Accepting new patients | |
| Natchez HB Medical Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Kings Daughters Medical Center | Current | Accepting new patients | |
| King'S Daughters Medical Center | Current | Accepting new patients |
Locations
150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817
427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011
1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000
54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100
Organizations & group practices 5
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.
-
dba Kings Daughters Pro Anesthesia
- Anesthesiology Physician
- Brookhaven, MS
- NPI 1043245368
-
dba Merit Health Natchez
- Emergency Medicine Physician
- Natchez, MS
- NPI 1770264459
Nurse Practitioner
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1730687740
-
dba King's Daughters Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Brookhaven, MS
- NPI 1881476364
-
- General Acute Care Hospital
- Brookhaven, MS
- NPI 1972503464
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brookhaven, MS
- NPI 1972503464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498694400000",
"number": "1932620085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 SERGEANT PRENTISS DR",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391204726",
"telephone_number": "601-443-2100",
"fax_number": "601-443-2885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAR",
"first_name": "RAYMOND",
"middle_name": "K",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-29",
"last_updated": "2017-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "902136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Natchez, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; 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.