Providence Wellness, LLC
NPI 1548076490 · Psychiatric/Mental Health Nurse Practitioner · Pearl, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Wellness, LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Pearl, MS (NPI 1548076490).
Provider details
- NPI number
- 1548076490
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Barbara Tapps, Ceo Owner(601) 955-4039
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
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
1 yr 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
- 2024-12-05
- Last updated
- 2025-04-22
- Certified
- 2025-04-22
Frequently asked questions
- What is Providence Wellness, LLC's NPI number?
- Providence Wellness, LLC's National Provider Identifier (NPI) is 1548076490, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Wellness, LLC?
- Providence Wellness, LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Providence Wellness, LLC located?
- Providence Wellness, LLC's practice location on file with NPPES is 4490 Highway 80 E Ste a, Pearl, MS 39208-4206.
- What is Providence Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Wellness, LLC is (601) 335-8600.
- Does Providence Wellness, LLC accept Medicare?
- Providence Wellness, LLC 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 Providence Wellness, LLC?
- The authorized official listed on Providence Wellness, LLC's NPPES record is Barbara Tapps, Ceo Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Wellness, LLC's NPI active?
- Yes — Providence Wellness, LLC's NPI (1548076490) is active in the NPPES registry as of the last update on 2025-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.