MARY L FEAGANS PA
NPI 1871572578
Physician Assistant in Hattiesburg, MS

Q: What is Mary Feagans's NPI number?

The NPI number for Mary Feagans is 1871572578. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Q: What is Mary Feagans'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 Feagans was last updated on October 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 11, 2006

415 S 28TH AVE, HATTIESBURG, MS 39401(601) 268-5800(601) 261-3530 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mary L Feagans Pa NPPES

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

MARY L FEAGANS PA (NPI 1871572578) is an individual physician assistant in Hattiesburg, Mississippi, licensed in Mississippi (PA00165) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1871572578

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARY L FEAGANSCredential: PA

Location Address415 S 28TH AVEHattiesburg, MS 39401-7246

Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 268-5800 · Fax (601) 261-3530

Phone(601) 268-5800

Fax(601) 261-3530

Sole ProprietorNo

Enumeration DateJanuary 11, 2006

Last NPPES UpdateOctober 24, 2012

✔ NPI 1871572578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MS · PA00165

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA200038 (LA)

415 S 28TH AVE, Hattiesburg, MS 39401

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Other Identifiers 8

Other302I978316MS · Medicare Ptan

Medicaid1591149LA

Other3122240MS · United Healthcare

Other9464394MS · Aetna

Other8740773MS · Cigna

Medicaid05202536MS

Medicare UPINQ49293LA

Medicare ID-Type Unspecified57698P692LA

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.

DR. KEVIN BRYAN CLEMENT M.D.

Family Medicine (Sports Medicine)