Access Serenity of Mississippi LLC
Organization Active NPI Psychiatry Physician · Many, LA
NPI 1801349238 · NPPES record last updated Feb 18, 2025
Key facts
- NPI
- 1801349238
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- ACCESS SERENITY OF MISSISSIPPI LLC
- Practice address
- 187 S Tonti Dr
Many, LA 71449-5848 - Phone
- (337) 802-1336
- NPI assigned
- Aug 2, 2016
- Organization subpart
- No
Authorized official
- Name
- Mr. Timothy Jason Reed
- Title
- Ceo
- Phone
- (337) 802-1336
Practitioners 10
-
Mohammad Khursheed Anwar, M.D.
-
Jared Kerome Taylor, M.D.
-
Jason Broussard, D.O.
-
Lucius M. Lampton, M.D.
-
Jasmine Mitchell, PMHNP-BC
-
Scott Edward P Baymiller, M.D.
-
Lucy Rena' Mikell, MSN, APRN, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161020001050 | MS | Part B Supplier - Clinic/Group Practice | 2860780111 |
Receives reassigned benefits from 6 practitioners Practice locations: Indianola, MS; Magnolia, MS; Greenville, MS; Cleveland, MS |
National Provider Directory
Locations
2837 Ernest St
Ste C
Lake Charles, LA 70601
Phone (337) 564-6731
810 E Sunflower Rd
Ste 140
Cleveland, MS 38732
Phone (662) 588-3911
617 Highway 82 W
Indianola, MS 38751
Phone (662) 445-2600
120 E Myrtle St
Magnolia, MS 39652
Phone (601) 783-2353
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
187 S Tonti Dr
Many, LA 71449-5848
Mailing address
187 S Tonti Dr
Many, LA 71449-5848
Phone (337) 802-1336
Other practice location 1
111 Magnolia St
Magnolia, MS 39652-2825
Phone (337) 802-1336
Other practice location 2
120 E Myrtle St
Magnolia, MS 39652-2834
Phone (337) 802-1336
Other practice location 3
205 N Cherry St
Magnolia, MS 39652-2819
Phone (337) 802-1336
Other practice location 4
300 S Washington Ave
Greenville, MS 38701-4719
Phone (337) 802-1336
Other practice location 5
810 E Sunflower Rd Ste 140
Cleveland, MS 38732-2800
Phone (337) 802-1336
Other names
- Access Serenity
Other providers in Many, LA
- Access Serenity of Louisiana, LLC
- Patvin Dean-Lloyd Adams
- Allegiance Hospital of Many LLC
- Allegiance Hospital of Many, LLC
- Allegiance Hospital of Many, LLC
- Allegiance Hospital of Many, LLC
All providers in Many, LA · Psychiatry Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.