Mary Gordy
NP | Nurse Practitioner | 40+ years Exp
501 Marshall St, Suite 100, Jackson
Mississippi, 39202-1651
601-948-1416
Mary Gordy is a Jackson, Mississippi based nurse practitioner with 40 years of experience in . She completed her graduation in 1985. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mary Gordy is R678163 in Mississippi. Her current practice location is 501 Marshall St, Suite 100, Jackson. Patients can reach her at 601-948-1416 or can fax her at 601-353-9417. Mary Gordy is NP and her NPI number (Unique professional ID assigned by NPPES) is 1124167325.
Mary Gordy has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mary Gordy speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mary Gordy |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 40+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1985 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 501 Marshall St, Suite 100, Jackson,
Mississippi, 39202-1651 |
| Phone: | 601-948-1416 |
| Fax: | 601-353-9417 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8527084177 |
| Enrollment ID: | I20051021000885 |
| NPI Number: | 1124167325 |
| NPI Enumeration Date: | 05 Feb, 2007 |
| NPI Last Update On: | 09 Mar, 2018 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Gordy are as mentioned below.
| License Number | Specialization | State | Status | |
| R678163 | | Mississippi | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (250102) | Jackson, MS | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mary Gordy is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Medical Foundation Of Central Mississippi Inc (1153216411) | 199 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Gordy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 07625023 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mary Gordy
965 Ridge Lake Blvd Ste 103,
Memphis, Tennessee |
| Zip: | 38120-9446 |
| Phone Number: | 901-227-3255 |
| Fax Number: | 901-227-8591 |
Patients can reach Mary Gordy at
501 Marshall St, Suite 100, Jackson, Mississippi or can
call to book an appointment on 601-948-1416.
Comments/ Reviews:
Patients can read all the reviews posted for Mary Gordy below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Mary Gordy. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.