MISSISSIPPI PAC SERVICES PROFESSIONAL ASSOCIATION
NPI 1073042925
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry in Holly Springs, MS
About Mississippi Pac Services Professional Association NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISSISSIPPI PAC SERVICES PROFESSIONAL ASSOCIATION (NPI 1073042925) is a healthcare organization registered as a behavioral neurology & neuropsychiatry in Holly Springs, Mississippi and active in the NPI registry since June 2017. The organization lists Lindsay Gordon, Pe, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mississippi Pac Services Professional Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Mississippi Pac Services Professional Association, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Mississippi Pac Services Professional Association's NPI number?
The NPI number for Mississippi Pac Services Professional Association is 1073042925. It was assigned to this organization in the NPPES registry on June 5, 2017.
Where is Mississippi Pac Services Professional Association located?
Mississippi Pac Services Professional Association is located at 960 Highway 4 E, Holly Springs, MS 38635. The listed phone number is (865) 693-1000.
What is Mississippi Pac Services Professional Association's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.
Is Mississippi Pac Services Professional Association enrolled in Medicare?
Yes. Mississippi Pac Services Professional Association is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mississippi Pac Services Professional Association?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Mississippi Pac Services Professional Association, in Nurse Practitioner and Psychiatry. 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.
When was this NPI record last updated?
The NPPES record for Mississippi Pac Services Professional Association was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mississippi Pac Services Professional Association · NPI 1073042925
Behavioral Neurology & Neuropsychiatry organization in Holly Springs, Mississippi. Organization record, active in the CMS NPPES registry since June 5, 2017.
## Identity
- **NPI:** 1073042925 (Entity type: Organization)
- **Enumerated:** June 5, 2017
- **Primary specialty:** Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry · taxonomy 2084B0040X
- **Organization subpart:** No
- **Authorized official:** Lindsay Gordon, PE
## Practice location
- **Address:** 960 HIGHWAY 4 E, Holly Springs, MS 38635-2145
- **Phone:** (865) 693-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Psychiatry (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073042925) · Data from the CMS NPPES public registry.