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MINDFULL, P. A.
NPI 1962050310
Nurse Practitioner - Psychiatric/Mental Health in Florence, MS

Active since August 29, 2019
1776 HIGHWAY 49 S, FLORENCE, MS 39073(601) 825-6010(601) 825-7146 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2022, Oct 27, 2020, Aug 29, 2019 (3 updates tracked since 2019).

About Mindfull, P. A. NPPES

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

MINDFULL, P. A. (NPI 1962050310) is a healthcare organization registered as a psychiatric/mental health in Florence, Mississippi and active in the NPI registry since August 2019. The organization lists Roxian H Odom, Owner, as its authorized official.

NPPES Registry Identity

NPI1962050310
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMINDFULL, P. A.
Location Address1776 HIGHWAY 49 SFlorence, MS 39073-9429
Mailing Address1776 Highway 49 SFlorence, MS 39073-9429 · (601) 825-6010 · Fax (601) 825-7146
Phone(601) 825-6010
Fax(601) 825-7146
Organization SubpartNo
Authorized OfficialRoxian H OdomOwner · (601) 825-6010
Enumeration DateAugust 29, 2019
Last NPPES UpdateOctober 13, 20223 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
✔ NPI 1962050310 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
1776 HIGHWAY 49 S, Florence, MS 39073
Open in Google Maps ↗

Other Identifiers 1

Medicaid04309701MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindfull, P. A. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mindfull, P. A., 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 (3)

Roxian Odom, PMHNP-BC
Nurse Practitioner
NPI 1922652049
1776 HIGHWAY 49 S
Florence, MS 39073
(601) 825-6010
✔ PECOS✔ Accepts MedicareSame address
Nancy Harvey
Nurse Practitioner
NPI 1871944652
1920 DUNBARTON DR
Jackson, MS 39216
(601) 982-5376
✔ PECOS✔ Accepts Medicare9.5 mi
Ashley Prewitt, PMHNP
Nurse Practitioner
NPI 1861011553
201 N COLLEGE ST STE 105
Brandon, MS 39042
(601) 825-6010
✔ PECOS✔ Accepts Medicare10 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 Mindfull, P. A.'s NPI number?

The NPI number for Mindfull, P. A. is 1962050310. It was assigned to this organization in the NPPES registry on August 29, 2019.

Where is Mindfull, P. A. located?

Mindfull, P. A. is located at 1776 Highway 49 S, Florence, MS 39073. The listed phone number is (601) 825-6010.

What is Mindfull, P. A.'s specialty?

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

Is Mindfull, P. A. enrolled in Medicare?

Yes. Mindfull, P. A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindfull, P. A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mindfull, P. A.. 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. 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 Mindfull, P. A. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Mindfull, P. A. 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 Mindfull, P. A. was last updated on October 13, 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.