MARY SANDERSON
NPI 1760310403
Speech-Language Pathologist in Brandon, MS

Active since May 12, 2026
1476 W GOVERNMENT ST STE B, BRANDON, MS 39042(601) 914-6440 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Sanderson NPPES

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

MARY SANDERSON (NPI 1760310403) is an individual speech-language pathologist provider in Brandon, Mississippi, licensed in Mississippi (S-5478) and active in the NPI registry since May 2026. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1760310403
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY SANDERSON
Location Address1476 W GOVERNMENT ST STE BBrandon, MS 39042-3051
Mailing Address1200 Corporate Dr Ste 400Hoover, AL 35242-5424 · (423) 238-7217
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 12, 2026
NPPES CertifiedMay 12, 2026
✔ NPI 1760310403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MS · S-5478
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1476 W GOVERNMENT ST STE B, Brandon, MS 39042

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Sanderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022587039
PECOS Enrollment IDI20260519004418

Medicare Billing Reassignments

4

Medicare enrollment records show Mary Sanderson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
110 N WALMART DR, SUITE F
Louisville, MS 39339
  • Reassigned Medicare billing, Mississippi enrollment
  • 324 clinicians in this Medicare group
Physical Therapist
4010 BIENVILLE BLVD UNIT 8
Ocean Springs, MS 39564
  • Reassigned Medicare billing, Mississippi enrollment
  • 127 clinicians in this Medicare group
Physical Therapist
2319 HWY 145
Saltillo, MS 38866
  • Reassigned Medicare billing, Mississippi enrollment
  • 230 clinicians in this Medicare group
Physical Therapy
2177 NORTHPOINT BLVD STE 101
Hixson, TN 37343
  • Reassigned Medicare billing, Mississippi enrollment
  • 132 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.

Other Providers at the Same Location NPPES 7

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

Occupational Therapist
1476 W GOVERNMENT ST STE B
BRANDON, MS 39042
Speech-Language Pathologist
1476 W GOVERNMENT ST STE B
BRANDON, MS 39042
Physical Therapist
1476 W GOVERNMENT ST STE B
BRANDON, MS 39042
Speech-Language Pathologist
1476 W GOVERNMENT ST STE B
BRANDON, MS 39042
Speech-Language Pathologist
1476 W GOVERNMENT ST STE B
BRANDON, MS 39042
Occupational Therapist
1476 W GOVERNMENT ST STE B
BRANDON, MS 39042
Speech-Language Pathologist
1476 W GOVERNMENT ST STE B
BRANDON, MS 39042

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 Sanderson's NPI number?

The NPI number for Mary Sanderson is 1760310403. It was assigned to this individual provider in the NPPES registry on May 12, 2026.

Where is Mary Sanderson located?

Mary Sanderson practices at 1476 W Government St Ste B, Brandon, MS 39042. The listed phone number is (601) 914-6440.

What is Mary Sanderson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Mary Sanderson enrolled in Medicare?

Yes. Mary Sanderson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Sanderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Sanderson reassigns Medicare benefits to 4 organizations: Drayer Physical Therapy Mississippi LLC (Louisville, MS), Benchmark Physical Therapy Of Mississippi LLC (Ocean Springs, MS), Dpti Elite Physical Therapy LLC (Saltillo, MS) and Agilitas Usa Inc (Hixson, TN). 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 Sanderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Sanderson was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.