Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARY GREGG VANCE
NPI 1104742303
Nurse Practitioner - Primary Care in Greenwood, MS

Q: What is Mary Vance's NPI number?

The NPI number for Mary Vance is 1104742303. It was assigned to this individual provider in the NPPES registry on June 24, 2026.

Q: What is Mary Vance's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Mary Vance was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 24, 2026

1515 COUNTY ROAD 180, GREENWOOD, MS 38930(662) 392-0246 Get Directions Write a Review

NPPES record added: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Gregg Vance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY GREGG VANCE (NPI 1104742303) is an individual primary care provider in Greenwood, Mississippi, licensed in Mississippi (908523) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1104742303

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMARY GREGG VANCE

Location Address1515 COUNTY ROAD 180Greenwood, MS 38930-9357

Mailing Address1515 County Road 180Greenwood, MS 38930-9357 · (662) 392-0246

Phone(662) 392-0246

Sole ProprietorNo

Enumeration DateJune 24, 2026

NPPES CertifiedJune 5, 2026

✔ NPI 1104742303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in MS · 908523

1515 COUNTY ROAD 180, Greenwood, MS 38930

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Vance's NPI number?

The NPI number for Mary Vance is 1104742303. It was assigned to this individual provider in the NPPES registry on June 24, 2026.

Where is Mary Vance located?

Mary Vance practices at 1515 County Road 180, Greenwood, MS 38930. The listed phone number is (662) 392-0246.

What is Mary Vance's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Mary Vance was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.