CATHERINE SUPPLE BRYANT PA-C
NPI 1164920930
Physician Assistant - Surgical in Jackson, MS

Active since January 26, 2018PECOS EnrolledAccepts Medicare Assignment
87.1/100
CMS Quality Rating
1190 N STATE ST STE 502, JACKSON, MS 39202(601) 944-1781(601) 353-0439 Get Directions Write a Review

NPPES record last updated: January 26, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Catherine Supple Bryant Pa-c NPPES

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

CATHERINE SUPPLE BRYANT PA-C (NPI 1164920930) is an individual surgical provider in Jackson, Mississippi and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital North Ms, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1164920930
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCATHERINE SUPPLE BRYANTCredential: PA-C
Location Address1190 N STATE ST STE 502Jackson, MS 39202-2414
Mailing Address1190 N State St Ste 502Jackson, MS 39202-2414 · (601) 944-1781
Fax(601) 353-0439
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 26, 2018
NPI 1164920930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
1190 N STATE ST STE 502, Jackson, MS 39202

Other Names 1

Former Name (1)Catherine Ellen Supple

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

Catherine Supple Bryant Pa-c 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 ID8123389723
PECOS Enrollment IDI20180222001137
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.

Hospital Affiliations CMS Care Compare

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

Baptist Memorial Hospital North Ms

Acute Care Hospitals · Oxford, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250034
Location1100 Belk Blvd /Po Box 946Oxford, MS 38655 · Lafayette County
Emergency services Birthing friendly

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.

87.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.27
Improvement Activities40
Cost76.94

Other Providers at the Same Location NPPES 14

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

Physician Assistant (Surgical)
1190 N STATE ST STE 502
JACKSON, MS 39202
Surgery
1190 N STATE ST STE 502
JACKSON, MS 39202
Physician Assistant
1190 N STATE ST STE 502
JACKSON, MS 39202
Physician Assistant
1190 N STATE ST STE 502
JACKSON, MS 39202
Nurse Practitioner
1190 N STATE ST STE 502
JACKSON, MS 39202
Nurse Practitioner
1190 N STATE ST STE 502
JACKSON, MS 39202
Physician Assistant
1190 N STATE ST STE 502
JACKSON, MS 39202
Surgery
1190 N STATE ST STE 502
JACKSON, MS 39202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164920930, enumerated as an "individual" on January 26, 2018.

The provider is located at 1190 N STATE ST STE 502 JACKSON, MS 39202 and the phone number is (601) 944-1781.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Catherine Bryant is affiliated with: BAPTIST MEMORIAL HOSPITAL NORTH MS.