MARY GORDY NP
NPI 1124167325
Nurse Practitioner in Jackson, MS

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment
71/100
CMS Quality Rating
501 MARSHALL ST, SUITE 100, JACKSON, MS 39202(601) 948-1416(601) 353-9417 Get Directions Write a Review

NPPES record last updated: March 9, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Gordy Np NPPES

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

MARY GORDY NP (NPI 1124167325) is an individual nurse practitioner in Jackson, Mississippi, licensed in Mississippi (R678163) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Mississippi Baptist Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1124167325
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY GORDYCredential: NP
Location Address501 MARSHALL ST, SUITE 100Jackson, MS 39202-1651
Mailing Address965 Ridge Lake Blvd Ste 103Memphis, TN 38120-9446 · (901) 227-3255 · Fax (901) 227-8591
Fax(601) 353-9417
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateFebruary 5, 2007
Last NPPES UpdateMarch 9, 2018
NPI 1124167325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MS · R678163
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

501 MARSHALL ST, Jackson, MS 39202

Other Identifiers 1

Medicaid07625023MS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Gordy Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527084177
PECOS Enrollment IDI20051021000885
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
676 services573 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250102
Location1225 N State StJackson, MS 39202 · Hinds County
Emergency services Birthing friendly

Mississippi Methodist Rehab Ctr

Acute Care Hospitals · Jackson, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number250152
Location1350 E Woodrow Wilson DrJackson, MS 39216 · Hinds County

Baptist Medical Center-Leake

Critical Access Hospitals · Carthage, MS
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number251315
Location1100 Highway 16 East/Po Box 909Carthage, MS 39051 · Leake County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.58
Promoting Interoperability86
Improvement Activities40
Cost58.42

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
501 MARSHALL ST, STE 104
JACKSON, MS 39202
Obstetrics & Gynecology
501 MARSHALL ST, SUITE 400
JACKSON, MS 39202
Obstetrics & Gynecology
501 MARSHALL ST, STE 400
JACKSON, MS 39202
Ophthalmology
501 MARSHALL ST, SUITE 603
JACKSON, MS 39202
Clinic/Center (Endoscopy)
501 MARSHALL ST, SUITE 201
JACKSON, MS 39202
Audiologist
501 MARSHALL ST, SUITE 602
JACKSON, MS 39202
Nurse Practitioner (Obstetrics & Gynecology)
501 MARSHALL ST, SUITE 600
JACKSON, MS 39202
Nurse Practitioner (Acute Care)
501 MARSHALL ST, STE 104
JACKSON, MS 39202

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 Gordy's NPI number?

The NPI number for Mary Gordy is 1124167325. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Mary Gordy located?

Mary Gordy practices at 501 Marshall St Suite 100, Jackson, MS 39202. The listed phone number is (601) 948-1416.

What is Mary Gordy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Gordy enrolled in Medicare?

Yes. Mary Gordy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Gordy accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Mary Gordy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary Gordy affiliated with any hospitals?

According to CMS data, Mary Gordy is affiliated with Mississippi Baptist Medical Center, Mississippi Methodist Rehab Ctr and Baptist Medical Center-Leake.

When was this NPI record last updated?

The NPPES record for Mary Gordy was last updated on March 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.