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

Mary Rolfe Deweese, PA

Individual provider Physician Assistant · NPI 1205665858

Mary Rolfe Deweese, PA is a Physician Assistant in Jackson, Mississippi. Qualified in 2024, 2 years ago. Practices with Medical Foundation of Central Mississippi Inc, a 273-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

501 Marshall St Ste 104
Jackson, MS 39202-1663
Phone: (601) 969-6404
Fax: (601) 973-4541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 461 Mockingbird Ln, Madison, MS 39110-9577 — (318) 372-5401

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1205665858
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 31, 2024
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Medical Foundation Of Central Mississippi Inc — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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