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

MS. Mary Alyssa Gillis

Individual provider Family Nurse Practitioner · NPI 1285082925

MS. Mary Alyssa Gillis is a Nurse Practitioner in Columbus, Mississippi. Qualified in 2015, 11 years ago. Practices with Dutch Medical Clinics, Inc, a 27-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
11
Licensed in
MS
In the registry since
2016
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Practice location Address checks out

56 Dutch Ln
Columbus, MS 39702-5500
Phone: (662) 329-3808
Fax: (662) 329-3873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1201 11th Ave S, Birmingham, AL 35205-3423 — (205) 939-4939
  • 3654b New Hope Rd, Columbus, MS 39702-8521 — (662) 329-1488

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 902060 (MS)

Record details

NPI number1285082925
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 2, 2016
Last updated in NPPESJanuary 28, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Dutch Medical Clinics, Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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