MARY GLENN WALDROP
NPI 1386387520
Emergency Medicine in Jackson, MS
About Mary Glenn Waldrop NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY GLENN WALDROP (NPI 1386387520) is an individual emergency medicine provider in Jackson, Mississippi, licensed in Alabama (MD.52169) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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 Glenn Waldrop 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 Reassignments
2Medicare enrollment records show Mary Waldrop reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Birmingham, AL 35205
- Reassigned Medicare billing, Alabama enrollment
- 646 clinicians in this Medicare group
Talladega, AL 35160
- Reassigned Medicare billing, Alabama enrollment
- 141 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 39216
JACKSON, MS 39216
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 Waldrop's NPI number?
The NPI number for Mary Waldrop is 1386387520. It was assigned to this individual provider in the NPPES registry on April 15, 2022.
Where is Mary Waldrop located?
Mary Waldrop practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (205) 789-5731.
What is Mary Waldrop's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Mary Waldrop enrolled in Medicare?
Yes. Mary Waldrop 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 organizations bill Medicare for Mary Waldrop's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Waldrop reassigns Medicare benefits to 2 organizations: Paragon Contracting Services LLC (Birmingham, AL) and Alteon Health Alabama, LLC (Talladega, AL). Each 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 Waldrop's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Waldrop accept?
Health plans from Blue Cross and Blue Shield of Alabama list Mary Waldrop 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.
When was this NPI record last updated?
The NPPES record for Mary Waldrop was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 Glenn Waldrop · NPI 1386387520
Emergency Medicine physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since April 15, 2022.
## Identity
- **NPI:** 1386387520 (Entity type: Individual)
- **Enumerated:** April 15, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD.52169 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (205) 789-5731
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Paragon Contracting Services LLC (NPI 1225071459, Birmingham, AL); Alteon Health Alabama, LLC (NPI 1477708857, Talladega, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1386387520) · Data from the CMS NPPES public registry.