TEREA Y MCMAHON
NPI 1992371330
Nurse Practitioner - Psychiatric/Mental Health in Southaven, MS

Active since May 27, 2021
340 STATELINE RD W, SOUTHAVEN, MS 38671(662) 579-3955 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2023, May 27, 2021 (2 updates tracked since 2021).

About Terea Y Mcmahon NPPES

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

TEREA Y MCMAHON (NPI 1992371330) is an individual psychiatric/mental health provider in Southaven, Mississippi, licensed in Mississippi (906051) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1992371330
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTEREA Y MCMAHON
Location Address340 STATELINE RD WSouthaven, MS 38671-1610
Mailing Address4591 Airways Blvd Apt 1Memphis, TN 38116-7692 · (662) 562-2787
Sole ProprietorNo
Enumeration DateMay 27, 2021
Last NPPES UpdateJune 19, 20232 updates tracked since enumeration
NPPES CertifiedJune 19, 2023
NPI 1992371330 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
License Licensed in MS · 906051
Also ListedRegistered NurseTaxonomy 163W00000X · License RN888089 (MS)
340 STATELINE RD W, Southaven, MS 38671

Other Providers at the Same Location NPPES 18

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

Social Worker
340 STATELINE RD W
SOUTHAVEN, MS 38671
Social Worker (Clinical)
340 STATELINE RD W
SOUTHAVEN, MS 38671
Licensed Practical Nurse
340 STATELINE RD W
SOUTHAVEN, MS 38671
Licensed Practical Nurse
340 STATELINE RD W
SOUTHAVEN, MS 38671
Social Worker (Clinical)
340 STATELINE RD W
SOUTHAVEN, MS 38671
Registered Nurse (Addiction (Substance Use Disorder))
340 STATELINE RD W
SOUTHAVEN, MS 38671
Counselor (Mental Health)
340 STATELINE RD W
SOUTHAVEN, MS 38671
Substance Abuse Rehabilitation Facility
340 STATELINE RD W
SOUTHAVEN, MS 38671

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 Terea Mcmahon's NPI number?

The NPI number for Terea Mcmahon is 1992371330. It was assigned to this individual provider in the NPPES registry on May 27, 2021.

Where is Terea Mcmahon located?

Terea Mcmahon practices at 340 Stateline Rd W, Southaven, MS 38671. The listed phone number is (662) 579-3955.

What is Terea Mcmahon's specialty?

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

When was this NPI record last updated?

The NPPES record for Terea Mcmahon was last updated on June 19, 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.