Individual provider Active NPI

Penny Beth Taggart, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pass Christian, MS
National Provider Identifier
1326748740
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
905864 Issued in MS
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

Updated by the provider on Mar 6, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 1759615693, 6 clinicians

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

OrganizationSpecialtyStatusNew patients
Safe Harbor Clinic LLC CurrentSince Oct 15, 2023 Accepting new patients
A Penny for Your Thoughts CurrentSince Sep 7, 2023 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

Verify at the official NPI Registry.