MAYLEN MUSGROVE BRADY (PA-C) – Physician Assistant, NPI 1871001685

MAYLEN MUSGROVE BRADY (PA-C) is a healthcare provider. based in Hattiesburg, Mississippi. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA00354 (MS). The NPI Number for MAYLEN MUSGROVE BRADY (PA-C) is 1871001685

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MAYLEN MUSGROVE BRADY (PA-C)
NPI
1871001685
Phone
(601) 554-7400
Address
3688 Veterans Memorial Dr Ste 200
Enumeration Date
15 January 2018
Last Update Date
9 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6015547400
Graduation Year
2017 (9 years ago)
PAC ID
1951657527
Group Practice PAC ID
1254328818
Professional Enrollment ID
I20220215000780
Address ID
MS394018246HA3688XDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

396 PHYSICIAN ASSISTANT in MS

Provider Addresses for MAYLEN MUSGROVE BRADY (PA-C)

  • 3688 Veterans Memorial Dr Ste 200

    Hattiesburg, MS 394018246

    Phone: (601) 554-7400

    Type: Location

  • 625 TAYLOR OVERLOOK DR

    TAYLOR, MS 386739510

    Phone: (601) 422-9988

    Type: Mailing

  • 2222 JACKSON AVE WEST

    OXFORD, MS 386553865

    Phone: (662) 380-5560

    Type: Location

  • 1515 UNIVERSITY AVE

    OXFORD, MS 386554033

    Phone: (662) 238-0011

    Type: Location

  • Methodist South Hospital, 1300, Wesley Drive, Whitehaven, Memphis, Shelby County, Tennessee, 38116, United States

    MEMPHIS, TN 381166426

    Phone:

    Type: Mailing

  • Jackson Avenue West, Oxford, Lafayette County, Mississippi, 38655, United States

    OXFORD, MS 386554461

    Phone: (662) 751-3000

    Type: Location

  • 3688 VETERANS MEMORIAL DR STE 200

    HATTIESBURG, MS 394018246

    Phone: (601) 554-7400

    Fax: (601) 554-7499

    Type: Mailing

  • 1706 W 10TH ST

    LAUREL, MS 394402557

    Phone: (601) 554-7400

    Fax: (601) 554-7499

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($31).

Total Amount

$31

General + Research + Ownership

Payments

1

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-02-15

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180712000469IPhysician AssistantTNTBD
I20220215000780IPhysician AssistantMSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6251$0
J0696Injection, ceftriaxone sodium, per 250 mg5614$0
87804Detection test by immunoassay with direct visual observation for influenza virus4622$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus4137$0
96372Injection of drug or substance under skin or into muscle2618$0
View full utilization report →

Insurance plans in this area (ZIP 39401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254328818View full group profile
NameSpecialtyState
Nurse PractitionerMS
Orthopedic SurgeryMS
Anesthesiology, Family PracticeMS
Physician AssistantMS
Diagnostic RadiologyTX
Nurse PractitionerMS
Physician AssistantMS
Orthopedic Surgery, Sports MedicineMS
Physical Therapist In Private PracticeMS
Orthopedic SurgeryMS

Reviews

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Frequently asked questions

Is MAYLEN MUSGROVE BRADY (PA-C) listed with a National Provider Identifier?
Yes — MAYLEN MUSGROVE BRADY (PA-C) has NPI 1871001685 on file in the registry.
Active or inactive — what applies to MAYLEN MUSGROVE BRADY (PA-C)?
You should see MAYLEN MUSGROVE BRADY (PA-C) as active in CMS-hosted NPPES data.
What clinical focus is listed for MAYLEN MUSGROVE BRADY (PA-C)?
At a glance, MAYLEN MUSGROVE BRADY (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MAYLEN MUSGROVE BRADY (PA-C)?
Directory geography for MAYLEN MUSGROVE BRADY (PA-C) centers on Hattiesburg, Mississippi.
When was this NPI issued?
Enumeration for MAYLEN MUSGROVE BRADY (PA-C) is noted as January 15, 2018 where the registry provides it.

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