Primary and Behavioral Healthcare Services, PA
NPI 1710545488ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Jackson, MS
Nurse Practitioner, Psych/Mental Health in Jackson, Mississippi, registered in NPPES in May 2019. The authorized official on file is Shameca L. Hudson, DNP, FNP-BC, Chief Executive Officer. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1710545488 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 29, 2019 |
| Last updated in NPPES | Oct 4, 2024 |
| Certified by provider | Oct 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS); Part B Supplier - Clinic/Group Practice (VA) |
|---|
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