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DR. TINA DENISE MCDYESS PHD
NPI 1689393407
Nurse Practitioner - Psychiatric/Mental Health in Ellisville, MS

Active since August 24, 2022PECOS Enrolled
5192 HIGHWAY 11 N, ELLISVILLE, MS 39437(601) 479-4457 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 12, 2023, May 4, 2023, Aug 24, 2022 (3 updates tracked since 2022).

About Dr. Tina Denise Mcdyess Phd NPPES

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

DR. TINA DENISE MCDYESS PHD (NPI 1689393407) is an individual psychiatric/mental health provider in Ellisville, Mississippi, licensed in Mississippi (905967) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689393407
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. TINA DENISE MCDYESSCredential: PHD
Location Address5192 HIGHWAY 11 NEllisville, MS 39437-5050
Mailing Address401 Belmont AveNewton, MS 39345-2566 · (601) 479-4457
Phone(601) 479-4457
Sole ProprietorNo
Enumeration DateAugust 24, 2022
Last NPPES UpdateJune 12, 20233 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1689393407 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 · 905967
5192 HIGHWAY 11 N, Ellisville, MS 39437
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tina Denise Mcdyess Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tina Mcdyess reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Region Xii Commission
10 mi
General Practice
934 WEST DR
Laurel, MS 39440
  • Reassigned Medicare billing, Mississippi enrollment
  • Medicare enrollment name: Region 12 Commission On Mental Health & Retardation Pine Belt Men
  • 35 clinicians in this Medicare group
NPI 1467767988 (601) 426-7520
Inner Peace Mental Wellness Center
53 mi
Psychiatric/Mental Health
401 BELMONT AVE
Newton, MS 39345
  • Reassigned Medicare billing, Mississippi enrollment
NPI 1578430088 (769) 899-5361

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
129 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39437 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 20

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

LEIGHANNE KITTRELL
Counselor
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 649-7921
DANIELLE PORTER PCMHT
Counselor (Mental Health)
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 425-3439
DENICKA JONES
Registered Nurse
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 649-7921
FAMILY HEALTH CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 425-3033
ANITRA POSEY LPN
Licensed Practical Nurse
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 649-7921
ADAM BRENNER
Registered Nurse
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 649-7921
SHEILA VICKERS IDD WAIVER SERVICES
Day Training/Habilitation Specialist
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 649-7921
NANCY KEYS
Counselor (Mental Health)
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 779-2487

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 Tina Mcdyess's NPI number?

The NPI number for Tina Mcdyess is 1689393407. It was assigned to this individual provider in the NPPES registry on August 24, 2022.

Where is Tina Mcdyess located?

Tina Mcdyess practices at 5192 Highway 11 N, Ellisville, MS 39437. The listed phone number is (601) 479-4457.

What is Tina Mcdyess's specialty?

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

Is Tina Mcdyess enrolled in Medicare?

Yes. Tina Mcdyess is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tina Mcdyess's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Mcdyess reassigns Medicare benefits to 2 organizations: Region Xii Commission (Laurel, MS) and Inner Peace Mental Wellness Center (Newton, MS). Each 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 Tina Mcdyess's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Mcdyess accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Tina Mcdyess 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 Tina Mcdyess was last updated on June 12, 2023. 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.