SOUTHEASTERN PSYCHOLOGY GROUP
NPI 1043974728
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jackson, TN
About Southeastern Psychology Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEASTERN PSYCHOLOGY GROUP (NPI 1043974728) is a healthcare organization registered as a mental health (including community mental health center) in Jackson, Tennessee and active in the NPI registry since October 2021. The organization maintains a secondary practice location in Houston and lists Joseph Fouche, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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)
Southeastern Psychology Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Southeastern Psychology Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Southeastern Hematology Oncology Associates PLLC's NPI number?
The NPI number for Southeastern Hematology Oncology Associates PLLC is 1043974728. It was assigned to this organization in the NPPES registry on October 28, 2021. The provider is doing business as Southeastern Psychology Group.
Where is Southeastern Hematology Oncology Associates PLLC located?
Southeastern Hematology Oncology Associates PLLC is located at 3006 Greystone Sq, Jackson, TN 38305. The listed phone number is (731) 474-1242.
What is Southeastern Hematology Oncology Associates PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Southeastern Hematology Oncology Associates PLLC enrolled in Medicare?
Yes. Southeastern Hematology Oncology Associates PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeastern Hematology Oncology Associates PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southeastern Hematology Oncology Associates PLLC, in Clinical Social Worker and Psychologist Billing Independently. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southeastern Hematology Oncology Associates PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Southeastern Hematology Oncology Associates PLLC 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 Southeastern Hematology Oncology Associates PLLC was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Southeastern Psychology Group · NPI 1043974728
Mental Health (Including Community Mental Health Center) organization in Jackson, Tennessee. Organization record, active in the CMS NPPES registry since October 28, 2021.
## Identity
- **NPI:** 1043974728 (Entity type: Organization)
- **Enumerated:** October 28, 2021
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Legal business name:** Southeastern Hematology Oncology Associates Pllc
- **Organization subpart:** No
- **Authorized official:** Joseph Fouche, OWNER
## Practice location
- **Address:** 3006 GREYSTONE SQ, Jackson, TN 38305-3589
- **Phone:** (731) 474-1242
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (1), Psychologist Billing Independently (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1043974728) · Data from the CMS NPPES public registry.