CHANIQUA DOMINIQUE SMITH PMHNP-BC
NPI 1164104543
Nurse Practitioner - Psychiatric/Mental Health in Southaven, MS
About Chaniqua Dominique Smith Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANIQUA DOMINIQUE SMITH PMHNP-BC (NPI 1164104543) is an individual psychiatric/mental health provider in Southaven, Mississippi, licensed in Tennessee (36433) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oxford.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chaniqua Dominique Smith Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38671 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Chaniqua Smith's NPI number?
The NPI number for Chaniqua Smith is 1164104543. It was assigned to this individual provider in the NPPES registry on August 3, 2023.
Where is Chaniqua Smith located?
Chaniqua Smith practices at 187 Marathon Way, Southaven, MS 38671. The listed phone number is (662) 727-8811.
What is Chaniqua Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Chaniqua Smith enrolled in Medicare?
Yes. Chaniqua Smith is registered in the Medicare PECOS enrollment system.
What insurance does Chaniqua Smith accept?
Health plans from Providence Health Plan list Chaniqua Smith 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 Chaniqua Smith was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.
# Chaniqua Dominique Smith, PMHNP-BC · NPI 1164104543
Psychiatric/Mental Health physician in Southaven, Mississippi. Individual provider, active in the CMS NPPES registry since August 3, 2023.
## Identity
- **NPI:** 1164104543 (Entity type: Individual)
- **Enumerated:** August 3, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 36433 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 187 MARATHON WAY, Southaven, MS 38671
- **Phone:** (662) 727-8811
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 31, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164104543) · Data from the CMS NPPES public registry.