OrganizationActive
Marla Mathis, Fnp
NPI 1285083238 · Family Nurse Practitioner · Petal, MS
Provider details
- NPI number
- 1285083238
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Marla Mathis, Owner(601) 467-0087
- License
- 852476 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs 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
130 N Main St
Petal, MS 39465-2345
Phone: (601) 467-0087
Fax: (601) 450-0186
Street-level locationGet directions
Mailing address
300 S 21st Ave
Hattiesburg, MS 39401-7319
Registry dates
- Enumerated
- 2016-06-10
- Last updated
- 2016-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.