HERNANDO PSYCHIATRY LLC
NPI 1912600750
Nurse Practitioner - Psychiatric/Mental Health in Hernando, MS
About Hernando Psychiatry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HERNANDO PSYCHIATRY LLC (NPI 1912600750), doing business as Hernando Psychiatry, is a healthcare organization registered as a psychiatric/mental health in Hernando, Mississippi and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Ethan Tyler Smitherman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 2
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2284907
Hernando Psychiatry · Hernando, MSOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HERNANDO, MS 38632
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 Hernando Psychiatry LLC's NPI number?
The NPI number for Hernando Psychiatry LLC is 1912600750. It was assigned to this organization in the NPPES registry on March 22, 2023. The provider is doing business as Hernando Psychiatry.
Where is Hernando Psychiatry LLC located?
Hernando Psychiatry LLC is located at 324 W Valley St Ste 108, Hernando, MS 38632. The listed phone number is (901) 491-0130.
What is Hernando Psychiatry LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Does Hernando Psychiatry LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2284907) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Hernando Psychiatry LLC accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Hernando Psychiatry 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 Hernando Psychiatry LLC was last updated on March 22, 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.
# Hernando Psychiatry Llc · NPI 1912600750
Psychiatric/Mental Health organization in Hernando, Mississippi. Organization record, active in the CMS NPPES registry since March 22, 2023.
## Identity
- **NPI:** 1912600750 (Entity type: Organization)
- **Enumerated:** March 22, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** Hernando Psychiatry (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Ethan Smitherman, OWNER
## Practice location
- **Address:** 324 W VALLEY ST STE 108, Hernando, MS 38632-1749
- **Phone:** (901) 491-0130
## Record status
- **NPPES last updated:** March 22, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1912600750) · Data from the CMS NPPES public registry.