Individual provider Active NPI

Sara Lynn Derrick, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Albany, MS
National Provider Identifier
1184565772
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
908326 Issued in MS
Practice address
218 S Denton Rd
New Albany, MS 38652-2810
Phone
(662) 598-8141
NPI assigned
Apr 6, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 908326 MS Primary

Addresses

Primary practice location

218 S Denton Rd
New Albany, MS 38652-2810

Mailing address

1012 County Road 382
New Albany, MS 38652-0017
Phone (662) 416-9246

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
I20260429002865 MS Practitioner - Nurse Practitioner 1850868647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Mind Psychiatry PLLCGroup PAC ID 2264856673, 7 clinicians

Practice addresses (Care Compare)

218 B S Denton Rd
New Albany, MS 38652-2810
Phone (662) 598-8141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
908326MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Mind Psychiatry PLLC Psychiatric/Mental Health CurrentSince Apr 16, 2026 Accepting new patients

Locations

218 S Denton Rd
#B
New Albany, MS 38652
Phone (662) 305-5998

Organizations & group practices 1

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": "1775433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1184565772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 COUNTY ROAD 382",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386520017",
            "telephone_number": "662-416-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S DENTON RD",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386522810",
            "telephone_number": "662-598-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRICK",
        "first_name": "SARA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "908326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, MS

Sources for this page

Verify at the official NPI Registry.