Sallie Evans Dalton, MSN, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

903430 Issued in MS

Practice address

1012 E Main St
Philadelphia, MS 39350-2308

Phone

(601) 389-7889

Fax

(601) 533-2566

NPI assigned

Aug 12, 2019

Last updated

Nov 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A Good Mind TooGroup PAC ID 2062891161, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: agoodmindtoo.salliedalton@153743.advancedmd-direct.com

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.

• A Good Mind Too

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, MS
  • NPI 1841933272
  Medicare reassignment Care Compare group NPD
• Intouch Psychological Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, MS
  • NPI 1649629304
  NPD
• Precise Clinical Neuroscience Specialists

  dba Right Track Medical Group

  • Psychiatry Physician
  • Flowood, MS
  • NPI 1770717449
  NPD (past)

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1104472653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 E MAIN ST STE 24",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 E MAIN ST",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502308",
            "telephone_number": "601-389-7889",
            "fax_number": "601-533-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "SALLIE",
        "middle_name": "EVANS",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2023-11-28",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "903430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SALLIEDALTON@AGOODMINDTOO.COM",
            "affiliation": "N",
            "endpointDescription": "WORK EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "WORK EMAIL",
            "address_1": "1012 E Main St",
            "city": "Philadelphia",
            "state": "MS",
            "country_code": "US",
            "postal_code": "393502308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Covenant Palliative and Hospice, LLC
• Cumberland Chiropractic Clinic
• Sarah Kathryn Cummings, OTR/L
• Kiara Cunningham, SLP
• Andrew Pace Dabbs, M.D.
• Shelley Darby
• Zaineb Daud, MD
• Adrian Dennis
• Morgan Elizabeth Deweese, PHARM.D.
• Ricky Gene Deweese, RPH

• Psychiatric/Mental Health Nurse Practitioner in Philadelphia, MS
• Providers in Philadelphia, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.