Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Coppola

Individual provider Family Nurse Practitioner · NPI 1386361871

Mary Coppola is a Nurse Practitioner in Flowood, Mississippi. Qualified in 2022, 4 years ago. Practices with Minor Med Care, LLC, a 81-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
4
Licensed in
MS
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

215 Katherine Dr Ste A
Flowood, MS 39232-9588
Phone: (601) 665-4162
Fax: (855) 830-3484
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 Highway 80 E, Clinton, MS 39056-5122 — (601) 708-1480

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 905500 (MS)

Record details

NPI number1386361871
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 25, 2022
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023
Mailing address200 Lakeview Dr, Clinton, MS 39056-4436

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Minor Med Care, Llc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Flowood