SOUTHERN LIGHT MENTAL HEALTH, LLC
NPI 1609582501
Nurse Practitioner - Psychiatric/Mental Health in Pontotoc, MS
About Southern Light Mental Health, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN LIGHT MENTAL HEALTH, LLC (NPI 1609582501) is a healthcare organization registered as a psychiatric/mental health in Pontotoc, Mississippi and active in the NPI registry since January 2023. The organization lists Laurie Duncan, Vice President Of Revenue, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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 Light Mental 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 Southern Light Mental 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.
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 Light Mental Health, LLC's NPI number?
The NPI number for Southern Light Mental Health, LLC is 1609582501. It was assigned to this organization in the NPPES registry on January 25, 2023.
Where is Southern Light Mental Health, LLC located?
Southern Light Mental Health, LLC is located at 12 Brookes Xing, Pontotoc, MS 38863. The listed phone number is (662) 489-4044.
What is Southern Light Mental Health, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Southern Light Mental Health, LLC enrolled in Medicare?
Yes. Southern Light Mental Health, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Light Mental Health, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Southern Light Mental 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.
What insurance does Southern Light Mental Health, LLC accept?
Health plans from Molina Healthcare list Southern Light Mental Health, LLC 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 Light Mental Health, LLC was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Southern Light Mental Health, Llc · NPI 1609582501
Psychiatric/Mental Health organization in Pontotoc, Mississippi. Organization record, active in the CMS NPPES registry since January 25, 2023.
## Identity
- **NPI:** 1609582501 (Entity type: Organization)
- **Enumerated:** January 25, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Laurie Duncan, VICE PRESIDENT OF REVENUE
## Practice location
- **Address:** 12 BROOKES XING, Pontotoc, MS 38863-1009
- **Phone:** (662) 489-4044
## 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:** November 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1609582501) · Data from the CMS NPPES public registry.