Individual provider Active NPI

Cynthia Lynette Johnson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Biloxi, MS
National Provider Identifier
1205350410
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
901858 Issued in MS
Practice address
180B Debuys Rd
Biloxi, MS 39531-4404
Phone
(228) 806-7030
Fax
(228) 594-1765
NPI assigned
Jul 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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 901858 MS Primary
Nurse Practitioner 363L00000X 901858 MS

Addresses

Primary practice location

180B Debuys Rd
Biloxi, MS 39531-4404

Mailing address

180B Debuys Rd
Biloxi, MS 39531-4404
Phone (228) 806-7030

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
I20200306000844 MS Practitioner - Nurse Practitioner 9537597430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Mississippi School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Painstop Spine Clinic, LLCGroup PAC ID 9739355124, 9 clinicians

Practice addresses (Care Compare)

180 B Debuys Rd
Biloxi, MS 39531-4404
Phone (228) 273-4096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Painstop Spine Clinic, LLC CurrentSince Mar 19, 2025 Accepting new patients
Painstop Spine Clinic, LLC CurrentSince Mar 19, 2025 Accepting new patients

Locations

180B Debuys Rd
Biloxi, MS 39531
Phone (228) 273-4096

180B Debuys Rd
Ste 203
Biloxi, MS 39531
Phone (228) 273-4096

3003 Shortcut Rd
Pascagoula, MS 39567
Phone (228) 273-4096

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1205350410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180B DEBUYS RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314404",
            "telephone_number": "228-806-7030",
            "fax_number": "228-594-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180B DEBUYS RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314404",
            "telephone_number": "228-806-7030",
            "fax_number": "228-594-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CYNTHIA",
        "middle_name": "LYNETTE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-29",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "901858",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "901858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.