SOUTHERN PSYCHIATRY LLC
NPI 1467917898
Nurse Practitioner - Psychiatric/Mental Health in Crestview, FL
About Southern Psychiatry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN PSYCHIATRY LLC (NPI 1467917898) is a healthcare organization registered as a psychiatric/mental health in Crestview, Florida and active in the NPI registry since February 2019. The organization lists Renee Mccormack, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Southern Psychiatry LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Santa Rosa Beach, FL 32459
Panama City Beach, FL 32407
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Psychiatry LLC's NPI number?
The NPI number for Southern Psychiatry LLC is 1467917898. It was assigned to this organization in the NPPES registry on February 11, 2019.
Where is Southern Psychiatry LLC located?
Southern Psychiatry LLC is located at 500 Hospital Dr, Crestview, FL 32539. The listed phone number is (850) 687-0887.
What is Southern Psychiatry LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Southern Psychiatry LLC enrolled in Medicare?
Yes. Southern Psychiatry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Psychiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Southern Psychiatry 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southern Psychiatry LLC was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Southern Psychiatry Llc · NPI 1467917898
Psychiatric/Mental Health organization in Crestview, Florida. Organization record, active in the CMS NPPES registry since February 11, 2019.
## Identity
- **NPI:** 1467917898 (Entity type: Organization)
- **Enumerated:** February 11, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Renee Mccormack, OWNER
## Practice location
- **Address:** 500 HOSPITAL DR, Crestview, FL 32539-7355
- **Phone:** (850) 687-0887
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1467917898) · Data from the CMS NPPES public registry.