Active NPI
Penny Beth Taggart, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Pass Christian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 905864
- Practice address
- 26316 Elm Rd
Pass Christian, MS 39571-8836 - Phone
- (605) 484-1668
- NPI assigned
- Mar 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 905864 | MS | Primary |
Addresses
Primary practice location
26316 Elm Rd
Pass Christian, MS 39571-8836
Mailing address
26316 Elm Rd
Pass Christian, MS 39571-8836
Phone (605) 484-1668
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231005002908 | MS | Practitioner - Nurse Practitioner | 8628423910 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Safe Harbor Clinic LLC
Practice addresses (Care Compare)
4013 Beatline Rd
Suite a
Long Beach, MS 39560-4135
Phone (228) 200-0720
412 Hwy 90
Suite 2
Bay St Louis, MS 39520-3534
Phone (605) 484-1668
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Harbor Clinic LLC | Current | Accepting new patients | |
| A Penny for Your Thoughts | Current | Accepting new patients |
Locations
412 Highway 90
Ste 2
Bay St Louis, MS 39520
Phone (228) 297-2068
4011 Beatline Rd
Ste 7
Long Beach, MS 39560
Phone (228) 200-0720
4013 Beatline Rd
#A
Long Beach, MS 39560
Phone (228) 200-0720
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": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1326748740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26316 ELM RD",
"city": "PASS CHRISTIAN",
"state": "MS",
"postal_code": "395718836",
"telephone_number": "605-484-1668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26316 ELM RD",
"city": "PASS CHRISTIAN",
"state": "MS",
"postal_code": "395718836",
"telephone_number": "605-484-1668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGGART",
"first_name": "PENNY",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MS",
"license": "905864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pass Christian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.