Active NPI
South Mississippi Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pascagoula, MS
National Provider Identifier
1699564419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SOUTH MISSISSIPPI MENTAL HEALTH CENTER
- Practice address
- 4211 Hospital St
Pascagoula, MS 39581-5320 - Phone
- (228) 497-0690
- NPI assigned
- May 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Manuel
- Title
- Mental Health Director
- Phone
- (228) 769-3154
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
4211 Hospital St
Pascagoula, MS 39581-5320
Mailing address
PO Box 1307
Pascagoula, MS 39568-1307
Phone (228) 283-4140
Other practice location 1
4600 Lt Eugene J Majure Dr
Pascagoula, MS 39581-5303
Phone (228) 283-4140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- South Mississippi Mental Health Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Gautier, MS
- NPI 1871465831
Locations
4600 Lt Eugene J Majure Dr
Pascagoula, MS 39581
Phone (228) 283-4140
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Pascagoula, MS
- NPI 1124914981
-
- Family Medicine Physician
- Gautier, MS
- NPI 1427230713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760486400000",
"number": "1699564419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1307",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395681307",
"telephone_number": "228-283-4140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 HOSPITAL ST",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395815320",
"telephone_number": "228-497-0690"
}
],
"practiceLocations": [
{
"address_1": "4600 Lt Eugene J Majure Dr",
"address_purpose": "LOCATION",
"city": "Pascagoula",
"state": "MS",
"postal_code": "395815303",
"country_code": "US",
"telephone_number": "228-283-4140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SOUTH MISSISSIPPI MENTAL HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-06",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A",
"authorized_official_last_name": "MANUEL",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "MENTAL HEALTH DIRECTOR",
"authorized_official_telephone_number": "228-769-3154"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pascagoula, MS
- William Warren Smith, MD
- Cynthia Dees Snow, FNP-BC, AGACNP-BC
- South Coast Family Physicians
- South Coast Family Physicians
- South Mississippi Ear, Nose and Throat
- South Mississippi Smiles Dentistry LLC
- South Mississippi Urology PLLC
- Southern Girl Homecare LLC
- Southern Ms Heart Center,PA
- Speakeasy Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.