Southern Light Mental Health, LLC
NPI 1609582501 · Psychiatric/Mental Health Nurse Practitioner · Pontotoc, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Light Mental Health, LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Pontotoc, MS (NPI 1609582501).
Provider details
- NPI number
- 1609582501
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Laurie Duncan, Vice President of Revenue(678) 332-6122
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
3 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
- 2023-01-25
- Last updated
- 2025-11-24
- Certified
- 2025-11-24
Frequently asked questions
- What is Southern Light Mental Health, LLC's NPI number?
- Southern Light Mental Health, LLC's National Provider Identifier (NPI) is 1609582501, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Light Mental Health, LLC?
- Southern Light Mental Health, LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Southern Light Mental Health, LLC located?
- Southern Light Mental Health, LLC's practice location on file with NPPES is 12 Brookes Xing, Pontotoc, MS 38863-1009.
- What is Southern Light Mental Health, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Light Mental Health, LLC is (662) 489-4044.
- Does Southern Light Mental Health, LLC accept Medicare?
- Southern Light Mental Health, 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 Southern Light Mental Health, LLC?
- The authorized official listed on Southern Light Mental Health, LLC's NPPES record is Laurie Duncan, Vice President of Revenue. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Light Mental Health, LLC's NPI active?
- Yes — Southern Light Mental Health, LLC's NPI (1609582501) is active in the NPPES registry as of the last update on 2025-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.