Individual provider Active NPI

Argaret Shonta Payne, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Olive Branch, MS
National Provider Identifier
1154966067
Registry record updated Oct 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
903710 Issued in MS
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

Updated by the provider on Oct 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, MS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20241205003969 TN Practitioner - Nurse Practitioner 2961949565 Reassigns benefits to 2 organizations
I20251104004470 AR Practitioner - Nurse Practitioner 2961949565 Reassigns benefits to 1 organization
I20260326002541 MS Practitioner - Nurse Practitioner 2961949565 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
Telehealth
Offers telehealth services
Group practices
Region Seven Mental Health Intellectual Disabilities CommGroup PAC ID 3072531953, 12 clinicians
Case Management IncGroup PAC ID 5991807570, 7 clinicians
Delta Counseling Associates IncGroup PAC ID 1850377508, 15 clinicians

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

OrganizationSpecialtyStatusNew patients
Case Management Inc CurrentSince Oct 1, 2024 Accepting new patients
Faith of a Mustard Seed Psychiatric Wellness, PLLC Psychiatric/Mental Health Current Accepting new patients
Delta Counseling Associates Inc CurrentSince Aug 23, 2025 Accepting new patients
Your Community Health & Wellness CurrentSince Oct 1, 2024 Accepting new patients
Masterpiece Counseling and Health Services, PLLC PastSince May 26, 2024 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.

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

Verify at the official NPI Registry.