Melissa F Smith, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

803904 Issued in MS

Practice address

66 Old Airport Rd
Hattiesburg, MS 39401-8382

Phone

(601) 544-7500

Fax

(601) 544-7524

NPI assigned

May 26, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: msmith99034@directpatientrecord.com

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.

• MD Billing, LLC

  • Psychiatry Physician
  • Jackson, MS
  • NPI 1548474042
  NPD (past)
• Precise Psychopharmacology LLC

  • Psychiatry Physician
  • Flowood, MS
  • NPI 1407053051
  NPD (past)
• Southwest Mississippi Mental Health Mental Retardation Commission

  dba SW Ms Mental Health Region XI

  • Social Worker
  • McComb, MS
  • NPI 1366694820
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1942256300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1729",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394031729",
            "telephone_number": "601-545-8700",
            "fax_number": "601-450-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 OLD AIRPORT RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394018382",
            "telephone_number": "601-544-7500",
            "fax_number": "601-544-7524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "248 E Capitol St",
            "address_2": "840 Trust Mark Bldg",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392012503",
            "country_code": "US",
            "telephone_number": "800-632-6074",
            "fax_number": "866-341-7509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 White St",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "39648",
            "country_code": "US",
            "telephone_number": "601-249-4217",
            "fax_number": "601-249-4234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELISSA",
        "middle_name": "F",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "803904",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R803904",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02070024",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE W PARADIGM",
            "identifier": "P00323873",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn A. Smith, AUDIOLOGISTS
• Kimberly Tazamear Smith, RMA
• Lucy Diane Smith, MS CCC-SLP
• Megan Marie Smith, LMSW
• Melissa Carol Smith, FNP
• Natalie-Rose Smith, DO
• Norman Smith, MD
• Pearlie Smith
• Shannon Faeser Smith, RPH
• Shannon Raquel Smith, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.