MARY R KING PA-C
NPI 1821624370
Physician Assistant in Gulfport, MS

Q: What is Mary King's NPI number?

The NPI number for Mary King is 1821624370. It was assigned to this individual provider in the NPPES registry on March 17, 2020.

Q: What is Mary King's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary King was last updated on May 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 17, 2020PECOS Enrolled

85.18/100

CMS Quality Rating

11295 E TAYLOR RD, GULFPORT, MS 39503(228) 864-3300(228) 864-3333 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 25, 2023, Feb 24, 2023, Mar 17, 2020 (3 updates tracked since 2020).

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About Mary R King Pa-c NPPES

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

MARY R KING PA-C (NPI 1821624370) is an individual physician assistant in Gulfport, Mississippi, licensed in Mississippi (PA00646) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821624370

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARY R KINGCredential: PA-C

Location Address11295 E TAYLOR RDGulfport, MS 39503-4197

Mailing Address11295 E Taylor RdGulfport, MS 39503-4197 · (228) 864-3300 · Fax (228) 864-3333

Phone(228) 864-3300

Fax(228) 864-3333

Sole ProprietorNo

Enumeration DateMarch 17, 2020

Last NPPES UpdateMay 25, 20233 updates tracked since enumeration

NPPES CertifiedMay 25, 2023

✔ NPI 1821624370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in MS · PA00646✔ Licensed in AL · PA.1595

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

11295 E TAYLOR RD, Gulfport, MS 39503

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Secondary Practice Locations 2

Location 16510 Highway 90 Ste CGautier, MS 39553-5015 · Phone (228) 372-8559 · Fax (228) 864-3333

Location 2703 Frontage Dr EWiggins, MS 39577-8362 · Phone (601) 385-8106 · Fax (228) 864-3333

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary R King Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 12

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.

Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg J7345

Aminolevulinic acid hcl is a topical gel used to treat certain skin conditions. It works by making affected skin cells more sensitive to light, which is then used to destroy these cells. The gel is applied by a healthcare professional.

3,200 services14 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

293 services56 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

77 services72 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.

68 services67 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

52 services49 patients

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.

42 services41 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

21 services21 patients

Application of light to destroy precancer skin growth 96567

This procedure involves the use of special light to eradicate precancerous skin growths. The light targets abnormal cells causing them to die off, while leaving healthy skin unharmed. It's a non-invasive method that helps prevent skin cancer.

16 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Destruction of skin growth, 15 or more growths 17111

"Destruction of skin growth" refers to a procedure where unwanted skin growths, such as warts or moles, are removed. In this case, 15 or more growths are treated. Techniques may include freezing, burning, or laser therapy. It's a safe, quick process to improve skin health.

15 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39503 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

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

85.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.36

Improvement Activities

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Other Providers at the Same Location NPPES 3

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

MRS. AMANDA LEBLANC HARRIS PA-C

Physician Assistant

11295 E TAYLOR RD
GULFPORT, MS 39503

Harrison County (228) 864-3300

MRS. BARBRA ELLEN DRODDY PA-C

Physician Assistant

11295 E TAYLOR RD
GULFPORT, MS 39503

Harrison County (228) 864-3300

DR. ANGELA BOOTH WINGFIELD MD

Dermatology (Procedural Dermatology)

11295 E TAYLOR RD
GULFPORT, MS 39503

Harrison County (228) 864-3300

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 King's NPI number?

The NPI number for Mary King is 1821624370. It was assigned to this individual provider in the NPPES registry on March 17, 2020.

Where is Mary King located?

Mary King practices at 11295 E Taylor Rd, Gulfport, MS 39503. The listed phone number is (228) 864-3300.

What is Mary King's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary King enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mary King was last updated on May 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.