Kimberlie La'Tasha Mabry, FNP-C
Family Medicine Physician · Gautier, MS
Kimberlie La'Tasha Mabry, FNP-C is a family medicine physician with a practice address in Gautier, Mississippi, and NPI 1891422853, issued on Aug 1, 2022. Check the license (Mississippi 905478, as entered in NPPES) on the Mississippi State Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Kimberlie La'Tasha Mabry
- Credential
- FNP-C
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License numbers
- 905478 MS
227359 LA
Self-reported in NPPES; status is on the state search - Practice location
- 1509 Willowbend Dr, Gautier, MS 39553
- Phone
- (228) 627-1223
- Enumerated
- Aug 1, 2022
- Record last updated
- Jul 18, 2023
- Medicare enrollment
- Enrolled (PECOS I20230801001826); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 1,165 in Mississippi → Look up another NPI →
Verify Kimberlie La'Tasha Mabry in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMississippi State Board of Medical Licensure
Search for license 905478Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
99% fewer Medicare Part D claims than the average family medicine physician in 2024
29 Medicare Part D claims for 23 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Calcasieu Urgent Care LLCFranklin, LA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kimberlie La'Tasha Mabry among 1,165 family medicine physician records in Mississippi
Kimberlie La'Tasha Mabry, FNP-C is one of 1,165 family medicine physician records with a practice address in Mississippi. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 90% of them.
- NPI issued2022 · 90% of these records are older, 7% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated2021 · median 2003 among the 748 with a school on file
- Record last updated2023 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
4 family medicine physician records list a practice address in Gautier
They are 4 of the 466 NPPES records with a practice address in Gautier, and 1,165 family medicine physician records in Mississippi.
All 1,165 in Mississippi → Every provider in Gautier → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Gregory Fox, DOGautier, MS 395531427230713
- Jefferson Harman, M.D.Gautier, MS 395531467433441
- Rick Hoover, DOGautier, MS 395531962493577
- Dawn Watkins, M.D.Hurley, MS 395551912967795
- Donald Rayner, M.D.Long Beach, MS 395601811909211
- Bruce Saylor, M.D.Long Beach, MS 395601316053846
- George Ward, M.D.Long Beach, MS 395601790869626
- Calvin Ennis, M.D.Moss Point, MS 395621144320920
Common questions
What is Kimberlie La'Tasha Mabry, FNP-C's NPI number?
Kimberlie La'Tasha Mabry, FNP-C's National Provider Identifier (NPI) is 1891422853, issued on Aug 1, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Kimberlie La'Tasha Mabry, FNP-C located?
The NPPES record lists a practice address at 1509 Willowbend Dr, Gautier, MS, 39553. Phone: (228) 627-1223. Providers update this record themselves, so call before visiting.
How can I verify Kimberlie La'Tasha Mabry, FNP-C's license?
NPPES lists Mississippi license number 905478, as entered by the provider. Search the Mississippi State Board of Medical Licensure at https://www.msbml.ms.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Kimberlie La'Tasha Mabry, FNP-C prescribe under Medicare Part D?
In 2024, Kimberlie La'Tasha Mabry, FNP-C had 29 Medicare Part D claims for 23 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.