1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Nurse Practitioner
  6. NPI Profile

SOUTHERN MENTALITY PLLC
NPI 1215617709
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

Active since July 20, 2023
1914 J N PEASE PL, CHARLOTTE, NC 28262(704) 754-8718(704) 803-5923 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2025, Dec 4, 2024, Jul 20, 2023 (3 updates tracked since 2023).

About Southern Mentality Pllc NPPES

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

SOUTHERN MENTALITY PLLC (NPI 1215617709) is a healthcare organization registered as a psychiatric/mental health in Charlotte, North Carolina and active in the NPI registry since July 2023. The organization lists Nicole Jane Thompson, Ceo, Owner, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1215617709
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSOUTHERN MENTALITY PLLC
Location Address1914 J N PEASE PLCharlotte, NC 28262-4504
Mailing Address1914 J N Pease PlCharlotte, NC 28262-4504 · (704) 754-8718 · Fax (704) 803-5923
Phone(704) 754-8718
Fax(704) 803-5923
Organization SubpartNo
Authorized OfficialNicole Jane ThompsonCeo, Owner, Nurse Practitioner · (603) 505-2922
Enumeration DateJuly 20, 2023
Last NPPES UpdateJanuary 7, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1215617709 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
1914 J N PEASE PL, Charlotte, NC 28262
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

ROHAN VIJAY PATEL M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
1914 J N PEASE PL
CHARLOTTE, NC 28262
Mecklenburg County (803) 630-1514
GWENDOLYN RENEE HOLMAN-BARTON MS., MED.
Peer Specialist
1914 J N PEASE PL
CHARLOTTE, NC 28262
Mecklenburg County (980) 395-7104
GENTLE SHEPHERD CARE
Case Management
1914 J N PEASE PL
CHARLOTTE, NC 28262
Mecklenburg County (704) 209-5040
HASAN A ABDUSHAHID
Community/Behavioral Health
1914 J N PEASE PL
CHARLOTTE, NC 28262
Mecklenburg County (980) 229-8303
BACK 2 LYFE OUTREACH SERVICES, INC
Community/Behavioral Health
1914 J N PEASE PL
CHARLOTTE, NC 28262
Mecklenburg County (980) 292-3213
MS. SHAYLA DARESE KING PLCSW
Social Worker (Clinical)
1914 J N PEASE PL
CHARLOTTE, NC 28262
Mecklenburg County (704) 919-3542
MR. ADRIAN J WHITE LCSW, LCAS
Social Worker (Clinical)
1914 J N PEASE PL
CHARLOTTE, NC 28262
Mecklenburg County (252) 320-8848
PUTTING THINGS INTO PERSPECTIVE, LLC
Community/Behavioral Health
1914 J N PEASE PL
CHARLOTTE, NC 28262
Mecklenburg County (980) 258-4683

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 Southern Mentality PLLC's NPI number?

The NPI number for Southern Mentality PLLC is 1215617709. It was assigned to this organization in the NPPES registry on July 20, 2023.

Where is Southern Mentality PLLC located?

Southern Mentality PLLC is located at 1914 J N Pease Pl, Charlotte, NC 28262. The listed phone number is (704) 754-8718.

What is Southern Mentality PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Southern Mentality PLLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Southern Mentality PLLC 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 Southern Mentality PLLC was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.