PERSONAL PEACE PSYCHIATRIC SOLUTIONS, PLLC
NPI 1104699644
Nurse Practitioner - Psychiatric/Mental Health in Jackson, TN
About Personal Peace Psychiatric Solutions, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PERSONAL PEACE PSYCHIATRIC SOLUTIONS, PLLC (NPI 1104699644) is a healthcare organization registered as a psychiatric/mental health in Jackson, Tennessee and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through August 12, 2028 and lists Jenny Carter, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Personal Peace Psychiatric Solutions, Pllc 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 Personal Peace Psychiatric Solutions, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 44D2348926
Personal Peace Psychiatric Solutions, PLLC · Jackson, TNFrequently 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 Personal Peace Psychiatric Solutions, PLLC's NPI number?
The NPI number for Personal Peace Psychiatric Solutions, PLLC is 1104699644. It was assigned to this organization in the NPPES registry on November 6, 2023.
Where is Personal Peace Psychiatric Solutions, PLLC located?
Personal Peace Psychiatric Solutions, PLLC is located at 162 Murray Guard Dr Ste A, Jackson, TN 38305. The listed phone number is (731) 207-6282.
What is Personal Peace Psychiatric Solutions, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Personal Peace Psychiatric Solutions, PLLC enrolled in Medicare?
Yes. Personal Peace Psychiatric Solutions, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Personal Peace Psychiatric Solutions, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Personal Peace Psychiatric Solutions, PLLC. 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 Personal Peace Psychiatric Solutions, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2348926) is associated with this NPI, valid through August 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Personal Peace Psychiatric Solutions, PLLC was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Personal Peace Psychiatric Solutions, Pllc · NPI 1104699644
Psychiatric/Mental Health organization in Jackson, Tennessee. Organization record, active in the CMS NPPES registry since November 6, 2023.
## Identity
- **NPI:** 1104699644 (Entity type: Organization)
- **Enumerated:** November 6, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Jenny Carter, OWNER
## Practice location
- **Address:** 162 MURRAY GUARD DR STE A, Jackson, TN 38305-3850
- **Phone:** (731) 207-6282
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104699644) · Data from the CMS NPPES public registry.