Individual provider Active NPI

Maggie Aleixandrea Macias, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Corinth, MS
National Provider Identifier
1972203404
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905867 Issued in MS
Practice address
504 S Tate St
Corinth, MS 38834-5532
Phone
(662) 462-7584
Fax
(662) 462-7339
NPI assigned
Mar 3, 2023
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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 905867 MS Primary

Addresses

Primary practice location

504 S Tate St
Corinth, MS 38834-5532

Mailing address

504 S Tate St
Corinth, MS 38834-5532
Phone (662) 462-7584

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
I20240301002858 MS Practitioner - Nurse Practitioner 9830534650 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1506 Levee Rd
Corinth, MS 38834-7002

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
905867MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Su Clinica Corinth LLC Family CurrentSince Dec 8, 2025 Accepting new patients
North Mississippi Primary Health Care, Inc. CurrentSince Apr 22, 2024 Accepting new patients
Community Care Health Network LLC CurrentSince Feb 1, 2024 Accepting new patients
North Mississippi Primary Health Care, Inc. Current Accepting new patients
North Mississippi Primary Health Care, Inc. CurrentSince Apr 22, 2024 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

504 S Tate St
Corinth, MS 38834
Phone (662) 415-9425

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

Interoperability endpoints

  • Direct secure messaging: maggie.macias.1@20757.direct.athenahealth.com
  • Direct secure messaging: maggie.macias.1@28179.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1972203404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S TATE ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388345532",
            "telephone_number": "662-462-7584",
            "fax_number": "662-462-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S TATE ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388345532",
            "telephone_number": "662-462-7584",
            "fax_number": "662-462-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIAS",
        "first_name": "MAGGIE",
        "middle_name": "ALEIXANDREA",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.