Mississippi Pac Services Professional Association

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

Legal business name

MISSISSIPPI PAC SERVICES PROFESSIONAL ASSOCIATION

Practice address

960 Highway 4 E
Holly Springs, MS 38635-2145

Phone

(865) 693-1000

NPI assigned

Jun 5, 2017

Last updated

Apr 20, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lindsay Gordon

Title

Pe

Phone

(865) 500-1346

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacey Hubbard, FNP

  • Family Nurse Practitioner
  • Johnson City, TN
  • NPI 1811379639

  MS

  Medicare reassignment NPD
• Lakieva Tatarshaq Trotter, FNP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1174791784

  MS

  Medicare reassignment NPD
• Charlene Renee Brown, MD

  • Psychiatry Physician
  • Sunrise, FL
  • NPI 1235257718

  MS

  Medicare reassignment

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1073042925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY STE 400",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194052",
            "telephone_number": "865-693-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 HIGHWAY 4 E",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386352145",
            "telephone_number": "865-693-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI PAC SERVICES PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "PE",
        "authorized_official_telephone_number": "865-500-1346"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memphis Vamc
• April Michelle Miller, PHARM.D.
• Ashley Miller, PHARM D
• Debe Milton, RN, CDE
• Mississippi CVS Pharmacy, L.L.C. (CVS Pharmacy # 11085)
• Mississippi State Department of Health
• Brooks V Monaghan Jr., M.D.
• Malika Moody, MSW
• Moral Lyft
• Ms BS Profession Caregiving Service

• Behavioral Neurology & Neuropsychiatry Physician in Holly Springs, MS
• Providers in Holly Springs, MS by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.