Southern Behavioral Medicine Associates PLLC
NPI 1487950564 · Health Psychologist · Hattiesburg, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Behavioral Medicine Associates PLLC is a Health Psychologist organization in Hattiesburg, MS (NPI 1487950564).
Provider details
- NPI number
- 1487950564
- Entity type
- Organization
- Primary specialty
- Health PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Geralyn Datz, Clinical Director/Owner(601) 255-1618
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Cognitive & Behavioral Psychologist103TB0200X
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
- 2011-02-07
- Last updated
- 2013-01-15
Frequently asked questions
- What is Southern Behavioral Medicine Associates PLLC's NPI number?
- Southern Behavioral Medicine Associates PLLC's National Provider Identifier (NPI) is 1487950564, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Behavioral Medicine Associates PLLC?
- Southern Behavioral Medicine Associates PLLC is classified in the NPPES registry as Health Psychologist (Behavioral Health & Social Service Providers).
- Where is Southern Behavioral Medicine Associates PLLC located?
- Southern Behavioral Medicine Associates PLLC's practice location on file with NPPES is 1 Commerce Dr, Hattiesburg, MS 39402-1499.
- What is Southern Behavioral Medicine Associates PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Behavioral Medicine Associates PLLC is (601) 255-1618.
- Does Southern Behavioral Medicine Associates PLLC accept Medicare?
- Southern Behavioral Medicine Associates 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 Behavioral Medicine Associates PLLC?
- The authorized official listed on Southern Behavioral Medicine Associates PLLC's NPPES record is Geralyn Datz, Clinical Director/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Behavioral Medicine Associates PLLC's NPI active?
- Yes — Southern Behavioral Medicine Associates PLLC's NPI (1487950564) is active in the NPPES registry as of the last update on 2013-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.