Southern Roots Psychiatry Inc
NPI 1558152066 · Psychiatric/Mental Health Nurse Practitioner · Marianna, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Roots Psychiatry Inc is a Psychiatric/Mental Health Nurse Practitioner organization in Marianna, FL (NPI 1558152066).
Provider details
- NPI number
- 1558152066
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jennifer Sizemore, Owner(850) 693-4171
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
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 90 Southern Oak DrDothan, AL 36301-7643Phone: (850) 693-4171
- 612 Byrd Parker DrWewahitchka, FL 32465-3304Phone: (850) 693-4171
Registry dates
- Enumerated
- 2025-05-14
- Last updated
- 2025-05-29
- Certified
- 2025-05-29
Frequently asked questions
- What is Southern Roots Psychiatry Inc's NPI number?
- Southern Roots Psychiatry Inc's National Provider Identifier (NPI) is 1558152066, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Roots Psychiatry Inc?
- Southern Roots Psychiatry Inc is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Southern Roots Psychiatry Inc located?
- Southern Roots Psychiatry Inc's practice location on file with NPPES is 4296 5th Ave, Marianna, FL 32446-2173.
- What is Southern Roots Psychiatry Inc's phone number?
- The practice phone number listed in the NPPES registry for Southern Roots Psychiatry Inc is (850) 693-4171.
- Does Southern Roots Psychiatry Inc accept Medicare?
- Southern Roots Psychiatry Inc 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 Roots Psychiatry Inc?
- The authorized official listed on Southern Roots Psychiatry Inc's NPPES record is Jennifer Sizemore, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Roots Psychiatry Inc's NPI active?
- Yes — Southern Roots Psychiatry Inc's NPI (1558152066) is active in the NPPES registry as of the last update on 2025-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.