CHARLES S. SMALL PH.D.
NPI 1871848952
Psychologist - Clinical in Greenwood, MS

Active since July 16, 2012PECOS EnrolledAccepts Medicare Assignment
2504 BROWNING ROAD 520, GREENWOOD, MS 38930(662) 453-6211 Get Directions Write a Review

NPPES record last updated: July 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles S. Small Ph.d. NPPES

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

CHARLES S. SMALL PH.D. (NPI 1871848952) is an individual clinical provider in Greenwood, Mississippi, licensed in Mississippi (8110) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Other (1973).

NPPES Registry Identity

NPI1871848952
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameCHARLES S. SMALLCredential: PH.D.
Location Address2504 BROWNING ROAD 520Greenwood, MS 38930-6022
Mailing Address2504 Browning Road 520Greenwood, MS 38930-6022 · (662) 453-6211
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateJuly 16, 2012
NPI 1871848952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MS · 8110
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2504 BROWNING ROAD 520, Greenwood, MS 38930

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Charles S. Small Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284880741
PECOS Enrollment IDI20120816000131
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38930 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
$159.18 typical visit price
range $51.65 – $159.18
Typical copayment $39.79 (range $12.91 – $39.79)
Most-billed visit code 99205
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.

Counselor (Mental Health)
2504 BROWNING ROAD 520
GREENWOOD, MS 38930
Counselor (Mental Health)
2504 BROWNING ROAD 520
GREENWOOD, MS 38930
Counselor (Mental Health)
2504 BROWNING ROAD 520
GREENWOOD, MS 38930
Counselor (Mental Health)
2504 BROWNING ROAD 520
GREENWOOD, MS 38930
Nurse Practitioner (Psychiatric/Mental Health)
2504 BROWNING ROAD 520
GREENWOOD, MS 38930
Counselor (Mental Health)
2504 BROWNING ROAD 520
GREENWOOD, MS 38930
Counselor (Mental Health)
2504 BROWNING ROAD 520
GREENWOOD, MS 38930
Counselor (Mental Health)
2504 BROWNING ROAD 520
GREENWOOD, MS 38930

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 Charles Small's NPI number?

The NPI number for Charles Small is 1871848952. It was assigned to this individual provider in the NPPES registry on July 16, 2012.

Where is Charles Small located?

Charles Small practices at 2504 Browning Road 520, Greenwood, MS 38930. The listed phone number is (662) 453-6211.

What is Charles Small's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Charles Small enrolled in Medicare?

Yes. Charles Small is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Charles Small was last updated on July 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.