MALLORI MCBRYDE
NPI 1801671425
Nurse Practitioner - Family in Tupelo, MS

Active since August 30, 2023PECOS EnrolledAccepts Medicare Assignment
961 S GLOSTER ST, TUPELO, MS 38801(662) 377-4550(662) 377-4425 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 2, 2024, Aug 30, 2023 (2 updates tracked since 2023).

About Mallori Mcbryde NPPES

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

MALLORI MCBRYDE (NPI 1801671425) is an individual family provider in Tupelo, Mississippi, licensed in Mississippi (906242) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and maintains a secondary practice location in Starkville.

NPPES Registry Identity

NPI1801671425
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALLORI MCBRYDE
Location Address961 S GLOSTER STTupelo, MS 38801-6343
Mailing Address808 Varsity DrTupelo, MS 38801-4613 · (662) 377-3204
Fax(662) 377-4425
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 30, 2023
Last NPPES UpdateApril 2, 20242 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1801671425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 906242
961 S GLOSTER ST, Tupelo, MS 38801

Secondary Practice Location 1

Location 11205 Highway 182 WStarkville, MS 39759-9820 · Phone (662) 320-8545 · Fax (662) 320-8981

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

Mallori Mcbryde 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 ID8628429826
PECOS Enrollment IDI20240112000657
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mallori Mcbryde reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
961 S GLOSTER ST
Tupelo, MS 38801
  • Reassigned Medicare billing, Mississippi enrollment
  • 581 clinicians in this Medicare group
Surgery
502 S CHESTNUT ST
Aberdeen, MS 39730
  • Reassigned Medicare billing, Mississippi enrollment
  • 101 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.

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.
159 services145 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.
146 services138 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services25 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

Clay County Medical Corporation

Acute Care Hospitals · West Point, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number250067
Location150 Medical Center DriveWest Point, MS 39773 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38801 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.

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Adult Health)
961 S GLOSTER ST
TUPELO, MS 38801
Internal Medicine (Hematology & Oncology)
961 S GLOSTER ST
TUPELO, MS 38801
Nurse Practitioner (Family)
961 S GLOSTER ST
TUPELO, MS 38801
Nurse Practitioner (Primary Care)
961 S GLOSTER ST
TUPELO, MS 38801
Nurse Practitioner (Family)
961 S GLOSTER ST
TUPELO, MS 38801
Internal Medicine (Hematology & Oncology)
961 S GLOSTER ST
TUPELO, MS 38801
Social Worker (Clinical)
961 S GLOSTER ST, SUITE A
TUPELO, MS 38801
Internal Medicine (Hematology & Oncology)
961 S GLOSTER ST
TUPELO, MS 38801

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 Mallori Mcbryde's NPI number?

The NPI number for Mallori Mcbryde is 1801671425. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Where is Mallori Mcbryde located?

Mallori Mcbryde practices at 961 S Gloster St, Tupelo, MS 38801. The listed phone number is (662) 377-4550.

What is Mallori Mcbryde's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mallori Mcbryde enrolled in Medicare?

Yes. Mallori Mcbryde 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 Mallori Mcbryde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallori Mcbryde reassigns Medicare benefits to 2 organizations: North Mississippi Medical Center, Inc (Tupelo, MS) and Clay County Medical Corporation (Aberdeen, MS). 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 Mallori Mcbryde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallori Mcbryde accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Mallori Mcbryde 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 Mallori Mcbryde affiliated with any hospitals?

According to CMS data, Mallori Mcbryde is affiliated with North Mississippi Medical Center and Clay County Medical Corporation.

When was this NPI record last updated?

The NPPES record for Mallori Mcbryde was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.