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: August 02, 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
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

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

Other Providers at the Same Location NPPES 3

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

Student in an Organized Health Care Education/Training Program
1776 HIGHWAY 49 S
FLORENCE, MS 39073
Nurse Practitioner (Psychiatric/Mental Health)
1776 HIGHWAY 49 S
FLORENCE, MS 39073
Nurse Practitioner (Psychiatric/Mental Health)
1776 HIGHWAY 49 S
FLORENCE, MS 39073

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.

What insurance does Mindfull, P. A. 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 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 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.