Doctor profile · Federal record
Dr. Mary Deweese, PA
Physician Assistant · Jackson, MS
- NPI 1205665858
- Accepts Medicare
- 2 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
501 Marshall St Ste 104
Jackson, MS 392021663
(601) 969-6404
fax (601) 973-4541 - Additional location
-
461 Mockingbird Ln
Madison, MS 391109577
(318) 372-5401 - Mailing address
-
965 Ridge Lake Blvd Ste 315
Memphis, TN 381209401
Credentials & registration
- NPI registered
- July 2024 — 2 yrs on file
- Profile last updated
- November 11, 2025
- Year of graduation
- 2024 — 2 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1205665858. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$74
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Terumo Medical Corporation | 2 | $73.60 |
By nature of payment
Frequently asked questions
What is Dr. Mary Deweese's medical specialty?
Dr. Mary Deweese practices Physician Assistant in Jackson, MS.
Where does Dr. Mary Deweese practice?
Dr. Mary Deweese practices at 501 Marshall St Ste 104, Jackson, MS 392021663. Office phone: 6019696404.
What is Dr. Mary Deweese's NPI?
Dr. Mary Deweese's National Provider Identifier (NPI) is 1205665858, issued by NPPES.
Does Dr. Mary Deweese accept Medicare assignment?
Yes. Dr. Mary Deweese accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.