Active NPI
Mary Allison Andrews, MD
- Family Medicine Physician
- Richton, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 30329
- Practice address
- 210 Bay Ave
Richton, MS 39476-9665 - Phone
- (601) 788-9222
- Fax
- (601) 788-6635
- NPI assigned
- Apr 6, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 30329 | MS | Primary |
Addresses
Primary practice location
210 Bay Ave
Richton, MS 39476-9665
Mailing address
PO Box 15722
Hattiesburg, MS 39404-5722
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 S 28TH Ave
FL 1
Hattiesburg, MS 39401-7246
Phone (601) 579-3300
6051 U S Hwy 49
Hattiesburg, MS 39401-7200
Phone (601) 288-4273
6051 US Hwy 49 S
Hattiesburg, MS 39401-7200
Phone (601) 288-7000
Hospital & facility affiliations
- Forrest General Home Care
- Forrest General Hospital
- Perry County General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30329 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forest General Dba Highland Community Hospital | Current | Accepting new patients | |
| Forrest County General Hospital | Current | Accepting new patients | |
| Forrest County General Hospital | Current | Accepting new patients | |
| Forrest County General Hospital | Past | Accepting new patients | |
| Forrest County General Hospital | Past | Accepting new patients | |
| Forrest County General Hospital | Past | Accepting new patients |
Locations
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
415 S 28th Ave
Fl 1
Hattiesburg, MS 39401
Phone (601) 288-5200
210 Bay Ave
Richton, MS 39476
Phone (601) 788-9222
Organizations & group practices 6
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.
-
- Psychiatric Hospital Unit
- Hattiesburg, MS
- NPI 1295837631
-
- Acute Care Nurse Practitioner
- Picayune, MS
- NPI 1124279922
-
- Rural Health Clinic/Center
- Picayune, MS
- NPI 1043820426
-
- Rural Health Clinic/Center
- Richton, MS
- NPI 1205974201
-
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1225041809
-
- Rural Acute Care Hospital
- Richton, MS
- NPI 1932143989
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1225041809
-
- Home Health Agency
- Hattiesburg, MS
- NPI 1336256700
-
- Rural Acute Care Hospital
- Richton, MS
- NPI 1932143989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1992384853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15722",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394045722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 BAY AVE",
"city": "RICHTON",
"state": "MS",
"postal_code": "394769665",
"telephone_number": "601-788-9222",
"fax_number": "601-788-6635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "MARY",
"middle_name": "ALLISON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-06",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "30329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.