MARY GORDY NP
NPI 1124167325
Nurse Practitioner in Jackson, MS
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
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Gordy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MS 39202
- Reassigned Medicare billing, Mississippi enrollment
- 423 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, MSMississippi Methodist Rehab Ctr
Acute Care Hospitals · Jackson, MSBaptist Medical Center-Leake
Critical Access Hospitals · Carthage, MSPhysician 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.
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.
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.
JACKSON, MS 39202
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.
Which organization bills Medicare for Mary Gordy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Gordy reassigns Medicare benefits to Medical Foundation Of Central Mississippi, Inc (Jackson, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Gordy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Gordy accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Mary Gordy, NP · NPI 1124167325
Nurse Practitioner physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since February 5, 2007.
## Identity
- **NPI:** 1124167325 (Entity type: Individual)
- **Enumerated:** February 5, 2007
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** R678163 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 501 MARSHALL ST, SUITE 100, Jackson, MS 39202-1651
- **Phone:** (601) 948-1416 · **Fax:** (601) 353-9417
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Medical Foundation Of Central Mississippi, Inc (NPI 1952557092, Jackson, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1985
## Record status
- **NPPES last updated:** March 9, 2018
- **Other identifiers:** Medicaid 07625023 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1124167325) · Data from the CMS NPPES public registry.