Southern Mentality PLLC
NPI 1215617709 · Psychiatric/Mental Health Nurse Practitioner · Charlotte, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Mentality PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Charlotte, NC (NPI 1215617709).
Provider details
- NPI number
- 1215617709
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Nicole Thompson, Ceo, Owner, Nurse Practitioner(603) 505-2922
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-07-20
- Last updated
- 2025-01-07
- Certified
- 2025-01-07
Frequently asked questions
- What is Southern Mentality PLLC's NPI number?
- Southern Mentality PLLC's National Provider Identifier (NPI) is 1215617709, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Mentality PLLC?
- Southern Mentality PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Southern Mentality PLLC located?
- Southern Mentality PLLC's practice location on file with NPPES is 1914 J N Pease Pl, Charlotte, NC 28262-4504.
- What is Southern Mentality PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Mentality PLLC is (704) 754-8718.
- Does Southern Mentality PLLC accept Medicare?
- Southern Mentality PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Mentality PLLC?
- The authorized official listed on Southern Mentality PLLC's NPPES record is Nicole Thompson, Ceo, Owner, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Mentality PLLC's NPI active?
- Yes — Southern Mentality PLLC's NPI (1215617709) is active in the NPPES registry as of the last update on 2025-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.