ANCHORED MINDS BEHAVIORAL HEALTH LLC
NPI 1235015579
Nurse Practitioner - Psychiatric/Mental Health in Vidalia, GA
About Anchored Minds Behavioral Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANCHORED MINDS BEHAVIORAL HEALTH LLC (NPI 1235015579) is a healthcare organization registered as a psychiatric/mental health in Vidalia, Georgia and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists James Campbell, 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)
Anchored Minds Behavioral Health Llc 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 Anchored Minds Behavioral Health LLC, 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 11D2343287
Anchored Minds Behavioral Health LLC · Vidalia, GAFrequently 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 Anchored Minds Behavioral Health LLC's NPI number?
The NPI number for Anchored Minds Behavioral Health LLC is 1235015579. It was assigned to this organization in the NPPES registry on August 13, 2025.
Where is Anchored Minds Behavioral Health LLC located?
Anchored Minds Behavioral Health LLC is located at 121 Church St, Vidalia, GA 30474. The listed phone number is (912) 805-2705.
What is Anchored Minds Behavioral Health LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Anchored Minds Behavioral Health LLC enrolled in Medicare?
Yes. Anchored Minds Behavioral Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Anchored Minds Behavioral Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Anchored Minds Behavioral Health LLC. 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 Anchored Minds Behavioral Health LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2343287) is associated with this NPI, valid through May 4, 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 Anchored Minds Behavioral Health LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Anchored Minds Behavioral Health Llc · NPI 1235015579
Psychiatric/Mental Health organization in Vidalia, Georgia. Organization record, active in the CMS NPPES registry since August 13, 2025.
## Identity
- **NPI:** 1235015579 (Entity type: Organization)
- **Enumerated:** August 13, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** James Campbell, OWNER
## Practice location
- **Address:** 121 CHURCH ST, Vidalia, GA 30474-4752
- **Phone:** (912) 805-2705
## 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:** September 2, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1235015579) · Data from the CMS NPPES public registry.