South Mississippi Mental Health Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUTH MISSISSIPPI MENTAL HEALTH CENTER

Practice address

3801 Dolphin Dr
Gautier, MS 39553

Phone

(228) 283-4140

Fax

(228) 769-0198

NPI assigned

Sep 19, 2025

Last updated

Sep 19, 2025By the provider in NPPES

Organization subpart

No

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 1

Addresses

Tax ID family

South Mississippi Mental Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South Mississippi Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pascagoula, MS
  • NPI 1699564419
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany Dennis, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pascagoula, MS
  • NPI 1124914981
  NPD (past)
• Gregory Barat Fox, DO

  • Family Medicine Physician
  • Gautier, MS
  • NPI 1427230713
  NPD (past)

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1871465831",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 DOLPHIN DR",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "39553",
            "telephone_number": "228-283-4140",
            "fax_number": "228-769-0198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3850 Dolphin Dr",
            "address_purpose": "LOCATION",
            "city": "Gautier",
            "state": "MS",
            "postal_code": "395535147",
            "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": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-05",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Weaver Smith, BSW
• Gloria Christine Smith, BS
• Rebecca Lynn Smith, B.S.
• Robert L Smith, M.S.W.
• South Mississippi Durable Medical
• Cindy Edna Spence, RN
• Marquita Spikes
• Ty William Denver Stafford, BA
• Johnathan Starko
• Tynita Steele

• Community/Behavioral Health Agency in Gautier, MS
• Providers in Gautier, MS by specialty
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.