Active NPI
Argaret Shonta Payne, FNP-C, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Olive Branch, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 903710
- Practice address
- 6952 Dogwood MNR N Ste 103
Olive Branch, MS 38654-2091 - Phone
- (662) 874-6921
- Fax
- (662) 932-6921
- NPI assigned
- Nov 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26839 | TN | |
| Nurse Practitioner | 363L00000X | 903710 | MS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26839 | TN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 903710 | MS | Primary |
Addresses
Primary practice location
6952 Dogwood MNR N Ste 103
Olive Branch, MS 38654-2091
Mailing address
9027 Gavin Dr
Olive Branch, MS 38654-6462
Phone (662) 356-3816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, AR, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
302 N Jackson St
Starkville, MS 39759-2504
Phone (601) 323-9261
3171 Directors Row
Memphis, TN 38131-0405
Phone (901) 821-5841
790 Roberts Dr
Monticello, AR 71655-5723
Phone (870) 367-2461
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Case Management Inc | Current | Accepting new patients | |
| Faith of a Mustard Seed Psychiatric Wellness, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Delta Counseling Associates Inc | Current | Accepting new patients | |
| Your Community Health & Wellness | Current | Accepting new patients | |
| Masterpiece Counseling and Health Services, PLLC | Past | Accepting new patients |
Locations
790 Roberts Dr
Monticello, AR 71655
Phone (870) 367-2461
3171 Directors Row
Memphis, TN 38131
Phone (901) 821-5600
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- Memphis, TN
- NPI 1326116476
-
- Community/Behavioral Health Agency
- Monticello, AR
- NPI 1053364612
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Point, MS
- NPI 1700894730
-
- Psychiatric/Mental Health Nurse Practitioner
- Olive Branch, MS
- NPI 1194616359
-
- Federally Qualified Health Center (FQHC)
- Memphis, TN
- NPI 1982686614
-
- Multi-Specialty Clinic/Center
- Memphis, TN
- NPI 1154793727
-
- Mental Health Counselor
- Olive Branch, MS
- NPI 1811565625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729382400000",
"number": "1154966067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9027 GAVIN DR",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386546462",
"telephone_number": "662-356-3816",
"fax_number": "662-200-4217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6952 DOGWOOD MNR N STE 103",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386542091",
"telephone_number": "662-874-6921",
"fax_number": "662-932-6921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "ARGARET",
"middle_name": "SHONTA",
"name_prefix": "Mrs.",
"credential": "FNP-C, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-14",
"last_updated": "2024-10-20",
"certification_date": "2024-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "26839",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "903710",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "26839",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MS",
"license": "903710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2024; 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.