Mari Caitlyne Blaylock, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Smithville, MS
NPI 1962043406 · NPPES record last updated Mar 17, 2026
Key facts
- NPI
- 1962043406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 903562 (MS)
- Practice address
- 60021 Monroe St
Smithville, MS 38870-7779 - Phone
- (662) 651-4637
- Fax
- (662) 651-4636
- NPI assigned
- Oct 7, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Access Family Health Services, Inc.
Practice addresses (Care Compare)
60021 Monroe St
Smithville, MS 38870-7779
Phone 66265146372008
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in 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 |
|---|---|---|---|---|
| I20211004003397 | MS | Practitioner - Nurse Practitioner | 0244638377 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 903562 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Family Health Services, Inc. | Current | Accepting new patients | |
| Access Family Health Services, Inc. | Current |
Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms, LLC | Current |
Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms LLC | Current |
Accepting new patients | |
| Access Family Health Services, Inc. | Past | Accepting new patients |
Locations
400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455
60286 Hatley Rd
Amory, MS 38821
Phone (662) 256-2233
1506 Highway 278 E
Ste A
Amory, MS 38821
Phone (662) 597-1905
8324 Highway 15 N
Ecru, MS 38841
Phone (662) 488-2950
135 E Oxford St
Pontotoc, MS 38863
Phone (662) 489-3336
1523 S Pontotoc Rd
Pontotoc, MS 38863
Phone (662) 488-2960
60021 Monroe St
Smithville, MS 38870
Phone (662) 651-4637
499 Gloster Creek Vlg
Ste D1
Tupelo, MS 38801
Phone (662) 690-8007
Interoperability endpoints
- mari.harris.1@13353.direct.athenahealth.com
- mari.minga.1@14756.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 903562 | MS | Yes |
Addresses
Primary practice location
60021 Monroe St
Smithville, MS 38870-7779
Mailing address
60021 Monroe St
Smithville, MS 38870-7779
Phone (662) 651-4637
Other practice location 1
106 Walker St
Houlka, MS 38850-9453
Phone (662) 568-3316
Other practice location 2
8324 Highway 15 N
Ecru, MS 38841-9749
Phone (662) 488-2950
Other practice location 3
182 W Main St
Nettleton, MS 38858-6075
Phone (662) 963-5050
Other practice location 4
12725 Highway 23 N
Tremont, MS 38876-8735
Phone (662) 652-3361
Other practice location 5
40201 Hamilton Rd
Hamilton, MS 39746-8648
Phone (662) 343-9148
Other practice location 6
60017 Highway 23
Smithville, MS 38870-9442
Phone (662) 651-4280
Other practice location 7
320 School Loop Dr
Tremont, MS 38876-8575
Phone (662) 652-3322
Other practice location 8
499 Gloster Creek Vlg Ste D1
Tupelo, MS 38801-4753
Phone (662) 690-8007
Other practice location 9
60286 Hatley Rd
Amory, MS 38821-7215
Phone (662) 256-2233
Other practice location 10
135 E Oxford St
Pontotoc, MS 38863-2111
Phone (662) 489-3382
Other practice location 11
179 Mullen Ave
Nettleton, MS 38858-6033
Phone (662) 591-1815
Other practice location 12
1523 S Pontotoc Rd
Pontotoc, MS 38863-9382
Phone (662) 488-2960
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07582036 | Medicaid | MS |
Other names
- Ms. Mari Caitlyne Harris
Other providers in Smithville, MS
- Access Family Health Services, Inc.
- Access Family Health Services, Inc.
- Access Family Health Services, Inc.
- Access Family Health Services, Inc.
- Melissa K Beach
- Teresa Nicole Brown
- Rebecca Cagle
- Sherbert V Canada-Mosby
- Whitney Johnson Carroll
- Joby Davis Collins
All providers in Smithville, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 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.