PHOENIX PSYCHIATRY TUPELO
NPI 1013860220
Nurse Practitioner - Psychiatric/Mental Health in Tupelo, MS

Active since February 17, 2026CLIA 25D2347226 · Waiver
218 S THOMAS ST STE 116, TUPELO, MS 38801(662) 922-2297 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Phoenix Psychiatry Tupelo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX PSYCHIATRY TUPELO (NPI 1013860220) is a healthcare organization registered as a psychiatric/mental health in Tupelo, Mississippi and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through July 13, 2028 and lists Dawn Begner, Owner, as its authorized official.

NPPES Registry Identity

NPI1013860220
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePHOENIX PSYCHIATRY TUPELO
Location Address218 S THOMAS ST STE 116Tupelo, MS 38801-5300
Mailing AddressPo Box 3493Tupelo, MS 38803-3493 · (662) 922-2297
Organization SubpartNo
Authorized OfficialDawn BegnerOwner · (662) 922-2297
Enumeration DateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
✔ NPI 1013860220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
218 S THOMAS ST STE 116, Tupelo, MS 38801

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phoenix Psychiatry Tupelo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Phoenix Psychiatry Tupelo, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1053041251
218 S THOMAS ST STE 116
Tupelo, MS 38801
(662) 922-2297
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2347226

Phoenix Psychiatry, Tupelo · Tupelo, MS
Active · expires Jul 13, 2028
CLIA Number25D2347226
Laboratory TypePractitioner Other
Certificate Effective DateJuly 14, 2026
Certificate Expiration DateJuly 13, 2028
Laboratory DirectorDawn M. Begner
Laboratory Phone(662) 927-0197
Laboratory LocationPhoenix Psychiatry, Tupelo218 Thomas St Spanish Village III Suite 116, Tupelo, MS 38801
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Psychiatry Tupelo's NPI number?

The NPI number for Phoenix Psychiatry Tupelo is 1013860220. It was assigned to this organization in the NPPES registry on February 17, 2026.

Where is Phoenix Psychiatry Tupelo located?

Phoenix Psychiatry Tupelo is located at 218 S Thomas St Ste 116, Tupelo, MS 38801. The listed phone number is (662) 922-2297.

What is Phoenix Psychiatry Tupelo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Phoenix Psychiatry Tupelo enrolled in Medicare?

Yes. Phoenix Psychiatry Tupelo is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phoenix Psychiatry Tupelo?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Phoenix Psychiatry Tupelo. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Phoenix Psychiatry Tupelo hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2347226) is associated with this NPI, valid through July 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Phoenix Psychiatry Tupelo accept?

Health plans from Molina Healthcare list Phoenix Psychiatry Tupelo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phoenix Psychiatry Tupelo was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.