Individual provider Active NPI

Joyce Chappell Vaughn, APMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1053681213
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R144380 Issued in MS
Practice address
3531 Lakeland Dr
Suite 1058
Flowood, MS 39232-8049
Phone
(601) 420-5810
Fax
(601) 420-5811
NPI assigned
Jan 5, 2012
Last updated
Feb 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R144380 MS Primary

Addresses

Primary practice location

3531 Lakeland Dr
Suite 1058
Flowood, MS 39232-8049

Mailing address

220 Highway 12 W
P.O. Box 887
Kosciusko, MS 39090-3208
Phone (662) 290-3134

Other names 1

  • Joyce Chappell Henson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000164 MS Practitioner - Nurse Practitioner 8527228162 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Warren Yazoo Mental Health ServiceGroup PAC ID 2365418167, 10 clinicians
Precise Clinical Neuroscience SpecialistsGroup PAC ID 4880737626, 37 clinicians

Practice addresses (Care Compare)

3444 Wisconsin Ave
Vicksburg, MS 39180-5331

3531 Lakeland Dr
Suite 1060
Flowood, MS 39232-8016
Phone (601) 420-5810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R144380MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Precise Psychopharmacology LLC Past Accepting new patients
Clinical Neuroscience Group, PLLC Past Accepting new patients
Garden Park Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1053681213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HIGHWAY 12 W",
            "address_2": "P.O. BOX 887",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903208",
            "telephone_number": "662-290-3134",
            "fax_number": "662-290-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 LAKELAND DR",
            "address_2": "SUITE 1058",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328049",
            "telephone_number": "601-420-5810",
            "fax_number": "601-420-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "JOYCE",
        "middle_name": "CHAPPELL",
        "name_prefix": "Ms.",
        "credential": "APMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R144380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYCE",
            "last_name": "HENSON",
            "middle_name": "CHAPPELL",
            "credential": "RN APMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.