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CHANIQUA DOMINIQUE SMITH PMHNP-BC
NPI 1164104543
Nurse Practitioner - Psychiatric/Mental Health in Southaven, MS

Active since August 03, 2023PECOS Enrolled
187 MARATHON WAY, SOUTHAVEN, MS 38671(662) 727-8811 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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

NPI1164104543
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCHANIQUA DOMINIQUE SMITHCredential: PMHNP-BC
Location Address187 MARATHON WAYSouthaven, MS 38671
Mailing Address187 Marathon WaySouthaven, MS 38671
Phone(662) 727-8811
Sole ProprietorNo
Enumeration DateAugust 3, 2023
Last NPPES UpdateAugust 31, 2026
NPPES CertifiedAugust 31, 2026
✔ NPI 1164104543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in TN · 36433✔ Licensed in MS · 906158
187 MARATHON WAY, Southaven, MS 38671
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Secondary Practice Location 1

Location 1956 Molly Barr Rd Apt 2Oxford, MS 38655 · Phone (166) 280-1295

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chaniqua Dominique Smith Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Chaniqua Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Athena Consulting And Psychological Services, PLLC
199 mi
Clinical
220 ATHENS WAY STE 104
Nashville, TN 37228
  • Reassigned Medicare billing, Tennessee enrollment
  • 80 clinicians in this Medicare group
NPI 1336292465 (615) 320-1155

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Which organization bills Medicare for Chaniqua Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chaniqua Smith reassigns Medicare benefits to Athena Consulting And Psychological Services, PLLC (Nashville, TN). The 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 Chaniqua Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chaniqua Smith accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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 2 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.