THE CHADWICK CLINIC LLC
NPI 1801538186
Nurse Practitioner - Psychiatric/Mental Health in Tupelo, MS

Active since April 08, 2022
609 BRUNSON DR STE B, TUPELO, MS 38801(662) 432-1097(662) 432-1098 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 10, 2022, Apr 8, 2022 (2 updates tracked since 2022).

About The Chadwick Clinic Llc NPPES

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

THE CHADWICK CLINIC LLC (NPI 1801538186) is a healthcare organization registered as a psychiatric/mental health in Tupelo, Mississippi and active in the NPI registry since April 2022. The organization maintains 2 additional practice locations and lists Beth Clardy, Manager, as its authorized official.

NPPES Registry Identity

NPI1801538186
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTHE CHADWICK CLINIC LLC
Location Address609 BRUNSON DR STE BTupelo, MS 38801-4948
Mailing AddressPo Box 480Corinth, MS 38835-0480
Fax(662) 432-1098
Organization SubpartNo
Authorized OfficialBeth ClardyManager · (662) 871-0911
Enumeration DateApril 8, 2022
Last NPPES UpdateMay 10, 20222 updates tracked since enumeration
NPPES CertifiedMay 10, 2022
✔ NPI 1801538186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
609 BRUNSON DR STE B, Tupelo, MS 38801

Secondary Practice Locations 2

Location 13514 Highway 39 N Ste A&bMeridian, MS 39301-1305 · Phone (601) 512-1310 · Fax (601) 512-1317
Location 2109 Doctors ParkStarkville, MS 39759-2174 · Phone (662) 465-2065 · Fax (662) 465-2066

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Chadwick Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to The Chadwick Clinic 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 (8)

Nurse Practitioner
NPI 1356538045
609 BRUNSON DR STE B
Tupelo, MS 38801
(662) 432-1097
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1356707400
315 MAGAZINE ST STE C
Tupelo, MS 38804
(662) 260-1011
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1932792207
5510 HIGHWAY 363
Mantachie, MS 38855
(662) 282-4359
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1275007510
12183 MS HIGHWAY 182 STE 108
Starkville, MS 39759
(662) 268-7100
✔ PECOS✔ Accepts Medicare53 mi
Nurse Practitioner
NPI 1225502412
3514 HIGHWAY 39 N STE A&B
Meridian, MS 39301
(601) 512-1310
✔ PECOS✔ Accepts Medicare127 mi
Nurse Practitioner
NPI 1801375894
3514 HIGHWAY 39 N STE A&B
Meridian, MS 39301
(601) 512-1310
✔ PECOS✔ Accepts Medicare127 mi
Clinical Social Worker
NPI 1518481480
110 48TH AVE
Meridian, MS 39307
(601) 513-4359
✔ PECOS✔ Accepts Medicare130 mi
Nurse Practitioner
NPI 1962156190
1020 HIGHWAY 62 E
Mountain Home, AR 72653
(870) 337-2172
✔ PECOS✔ Accepts Medicare253 mi

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 The Chadwick Clinic LLC's NPI number?

The NPI number for The Chadwick Clinic LLC is 1801538186. It was assigned to this organization in the NPPES registry on April 8, 2022.

Where is The Chadwick Clinic LLC located?

The Chadwick Clinic LLC is located at 609 Brunson Dr Ste B, Tupelo, MS 38801. The listed phone number is (662) 432-1097.

What is The Chadwick Clinic LLC's specialty?

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

Is The Chadwick Clinic LLC enrolled in Medicare?

Yes. The Chadwick Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Chadwick Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to The Chadwick Clinic 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. The largest specialties are Nurse Practitioner (7) and Clinical Social Worker (1). 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.

What insurance does The Chadwick Clinic LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list The Chadwick Clinic 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 The Chadwick Clinic LLC was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.