Individual provider Active NPI

Tiffany Dennis, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pascagoula, MS
National Provider Identifier
1124914981
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
907250 Issued in MS
Practice address
4211 Hospital St
Pascagoula, MS 39581-5320
Phone
(228) 283-4140
Fax
(228) 769-1079
NPI assigned
Jun 17, 2025
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 237412 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 907250 MS Primary

Addresses

Primary practice location

4211 Hospital St
Pascagoula, MS 39581-5320

Mailing address

2815 Nina Dr
Picayune, MS 39466-4925
Phone (601) 273-9847

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
I20251103002278 MS Practitioner - Nurse Practitioner 9739679325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Mississippi Mental Health CenterGroup PAC ID 6204326895, 2 clinicians

Practice addresses (Care Compare)

4211 Hospital St
Pascagoula, MS 39581-5320
Phone (228) 283-4140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237412LAMDPsychiatric/Mental Health Nurse Practitioner
907250MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Mississippi Mental Health Center CurrentSince Sep 15, 2025 Accepting new patients
South Mississippi Mental Health Center PastSince Sep 21, 2025 Accepting new patients

Locations

4211 Hospital St
Pascagoula, MS 39581
Phone (228) 217-9625

Organizations & group practices 2

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": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1124914981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 NINA DR",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394664925",
            "telephone_number": "601-273-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 HOSPITAL ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815320",
            "telephone_number": "228-283-4140",
            "fax_number": "228-769-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "TIFFANY",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "237412",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "907250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.