SOUTHEAST MENTAL HEALTH CENTER, INC
NPI 1063575165
Pharmacy - Clinic Pharmacy in Memphis, TN
About Southeast Mental Health Center, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEAST MENTAL HEALTH CENTER, INC (NPI 1063575165) is a healthcare organization registered as a clinic pharmacy in Memphis, Tennessee and active in the NPI registry since December 2006. The organization lists Owen Eugene Lawrence, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Southeast Mental Health Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
85Medicare enrollment records show 85 clinicians reassign Medicare billing to Southeast Mental Health Center, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 52 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 85Source: 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 Southeast Mental Health Center, Inc's NPI number?
The NPI number for Southeast Mental Health Center, Inc is 1063575165. It was assigned to this organization in the NPPES registry on December 19, 2006.
Where is Southeast Mental Health Center, Inc located?
Southeast Mental Health Center, Inc is located at 2579 Douglass Ave Southeast Mental Health Center, Memphis, TN 38114. The listed phone number is (901) 369-1484.
What is Southeast Mental Health Center, Inc's specialty?
The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.
Is Southeast Mental Health Center, Inc enrolled in Medicare?
Yes. Southeast Mental Health Center, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeast Mental Health Center, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 85 clinicians in 6 Medicare specialties reassign their Medicare billing to Southeast Mental Health Center, Inc. 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. The largest specialties are Nurse Practitioner (45), Clinical Social Worker (15) and Mental Health Counselor (13). Of these, 1 practice at this address and 52 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southeast Mental Health Center, Inc accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 37 other insurers list Southeast Mental Health Center, Inc 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 Southeast Mental Health Center, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Southeast Mental Health Center, Inc · NPI 1063575165
Clinic Pharmacy organization in Memphis, Tennessee. Organization record, active in the CMS NPPES registry since December 19, 2006.
## Identity
- **NPI:** 1063575165 (Entity type: Organization)
- **Enumerated:** December 19, 2006
- **Primary specialty:** Pharmacy - Clinic Pharmacy · taxonomy 3336C0002X
- **Organization subpart:** No
- **Authorized official:** Owen Lawrence, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 2579 DOUGLASS AVE, SOUTHEAST MENTAL HEALTH CENTER, Memphis, TN 38114-2532
- **Phone:** (901) 369-1484 · **Fax:** (901) 312-7572
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 85 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (45), Clinical Social Worker (15), Mental Health Counselor (13); 1 practice at this address and 52 within 10 miles; [full list](https://npiprofile.com/npi/1063575165/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 399596 (TN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1063575165) · Data from the CMS NPPES public registry.