Individual provider Active NPI

Marcia Jones Holloway, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bude, MS
National Provider Identifier
1992467898
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
905877 Issued in MS
Practice address
122 S Holly St
Bude, MS 39630-5602
Phone
(601) 522-9535
NPI assigned
Oct 7, 2021
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 905877 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 905877 MS Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0041162 OH
Registered Nurse 163W00000X 883795 MS

Addresses

Primary practice location

122 S Holly St
Bude, MS 39630-5602

Mailing address

364 Siloam Rd
Magee, MS 39111-5324
Phone (601) 522-9535

Other practice location 1

376 Simpson Highway 149
Magee, MS 39111-3565
Phone (601) 849-1220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231108000714 MS Practitioner - Nurse Practitioner 2769839059 Reassigns benefits to 2 organizations
I20260326000056 OH Practitioner - Nurse Practitioner 2769839059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2633 E Overlook Rd
Cleveland Heights, OH 44106-2801

701 Commerce St
Dallas, TX 75202-4586

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
883795MSMDRegistered Nurse
0041162OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Consultant Solutions, LLC Psychiatric/Mental Health CurrentSince Jul 27, 2023 Accepting new patients
Center for Advanced Mental Health Practice Corporation CurrentSince Aug 18, 2025 Accepting new patients

Locations

313 Abbey Ct
Biloxi, MS 39531

355 Crossgates Blvd
Brandon, MS 39042
Phone (601) 376-2561

105 N Front St
Richton, MS 39476
Phone (601) 788-2599

4 Erlene Watts Rd
Richton, MS 39476

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1992467898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 SILOAM RD",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391115324",
            "telephone_number": "601-522-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S HOLLY ST",
            "city": "BUDE",
            "state": "MS",
            "postal_code": "396305602",
            "telephone_number": "601-522-9535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "376 Simpson Highway 149",
            "address_purpose": "LOCATION",
            "city": "Magee",
            "state": "MS",
            "postal_code": "391113565",
            "country_code": "US",
            "telephone_number": "601-849-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "MARCIA",
        "middle_name": "JONES",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905877",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "905877",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0041162",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "883795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bude, MS

Sources for this page

Verify at the official NPI Registry.