Mississippi Pac Services Professional Association - Medicare Mental Health Clinic in Holly Springs, MS

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Mississippi Pac Services Professional Association is a medicare enrolled mental health clinic (Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry) in Holly Springs, Mississippi. The current practice location for Mississippi Pac Services Professional Association is 960 Highway 4 E, Holly Springs, Mississippi. For appointments, you can reach them via phone at (865) 693-1000. The mailing address for Mississippi Pac Services Professional Association is 265 Brookview Centre Way Ste 400, Knoxville, Tennessee and phone number is (865) 693-1000.

Mississippi Pac Services Professional Association is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073042925. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (865) 693-1000.

Contact Information

Mississippi Pac Services Professional Association
960 Highway 4 E
Holly Springs
MS 38635-2145
(865) 693-1000
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameMississippi Pac Services Professional Association
SpecialityPsychiatry & Neurology
Location960 Highway 4 E, Holly Springs, Mississippi
Authorized Official Name and PositionLindsay Gordon (PE)
Authorized Official Contact8655001346
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mississippi Pac Services Professional Association
265 Brookview Centre Way Ste 400
Knoxville
TN 37919-4052

Ph: (865) 693-1000		Mississippi Pac Services Professional Association
960 Highway 4 E
Holly Springs
MS 38635-2145

Ph: (865) 693-1000

NPI Details:

NPI Number1073042925
Provider Enumeration Date06/05/2017
Last Update Date04/20/2026
Certification Date04/20/2026

Medicare PECOS Information:

Medicare PECOS PAC ID7012273055
Medicare Enrollment IDO20171108001549

Medical Identifiers

Medical identifiers for Mississippi Pac Services Professional Association such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073042925NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084B0040XPsychiatry & Neurology - Behavioral Neurology & Neuropsychiatry (* (Not Available))Primary
208M00000XHospitalist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mississippi Pac Services Professional Association acts as a billing entity for following providers:
Provider NameLakieva T Trotter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174791784
PECOS PAC ID: 1557432663
Enrollment ID: I20140408001374
Provider NameStacey Joyce Hubbard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811379639
PECOS PAC ID: 7911214689
Enrollment ID: I20150911001889
Provider NameCharlene Brown
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1235257718
PECOS PAC ID: 6608063755
Enrollment ID: I20241001004531

Reviews and Comments

Psychiatry & Neurology in Holly Springs, MS

Time 4 Change
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 84 Tribble Rd, Holly Springs, MS 38635
Phone: 901-305-0626    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.