CORBAN SMITH PMHNP-BC
NPI 1184594152
Nurse Practitioner - Psychiatric/Mental Health in Wiggins, MS

Active since November 06, 2025PECOS Enrolled
213 FIRST ST S, WIGGINS, MS 39577(601) 385-0928(601) 385-0929 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 28, 2026, Nov 6, 2025 (2 updates tracked since 2025).

About Corban Smith Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORBAN SMITH PMHNP-BC (NPI 1184594152) is an individual psychiatric/mental health provider in Wiggins, Mississippi, licensed in Mississippi (907860) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1184594152
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCORBAN SMITHCredential: PMHNP-BC
Location Address213 FIRST ST SWiggins, MS 39577-2735
Mailing Address213 First St SWiggins, MS 39577-2735 · (601) 385-0928 · Fax (601) 385-0929
Fax(601) 385-0929
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 6, 2025
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
NPI 1184594152 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
License Licensed in MS · 907860
213 FIRST ST S, Wiggins, MS 39577

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5991288441
PECOS Enrollment IDI20260317001437
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39577 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
213 FIRST ST S
WIGGINS, MS 39577
Nurse Practitioner (Psychiatric/Mental Health)
213 FIRST ST S
WIGGINS, MS 39577

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184594152, enumerated as an "individual" on November 06, 2025.

The provider is located at 213 FIRST ST S WIGGINS, MS 39577 and the phone number is (601) 385-0928.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.