Katharyn Mary
NPI 1194512061 · Physician Assistant · Hattiesburg, MS
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Katharyn Mary is a Physician Assistant provider in Hattiesburg, MS (NPI 1194512061).
Provider details
- NPI number
- 1194512061
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PA00912 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-04-23
- Last updated
- 2025-07-29
- Certified
- 2025-07-29
Frequently asked questions
- What is Katharyn Mary's NPI number?
- Katharyn Mary's National Provider Identifier (NPI) is 1194512061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Katharyn Mary's specialty?
- Katharyn Mary is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Katharyn Mary located?
- Katharyn Mary's practice location on file with NPPES is 415 S 28th Ave, Hattiesburg, MS 39401-7246.
- What is Katharyn Mary's phone number?
- The practice phone number listed in the NPPES registry for Katharyn Mary is (601) 268-5650.
- Does Katharyn Mary accept Medicare?
- Katharyn Mary is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Katharyn Mary's NPI active?
- Yes — Katharyn Mary's NPI (1194512061) is active in the NPPES registry as of the last update on 2025-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.