Primary and Behavioral Healthcare Services, PA
NPI 1710545488 · Psychiatric/Mental Health Nurse Practitioner · Jackson, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Primary and Behavioral Healthcare Services, PA is a Psychiatric/Mental Health Nurse Practitioner organization in Jackson, MS (NPI 1710545488).
Provider details
- NPI number
- 1710545488
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Shameca Hudson, Chief Executive Officer(769) 572-4009
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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 (1)
- 2252 Tower Dr Ste 108Monroe, LA 71201-5765Phone: (769) 572-4009Fax: (769) 572-4021
Registry dates
- Enumerated
- 2019-05-29
- Last updated
- 2024-10-04
- Certified
- 2024-10-04
Frequently asked questions
- What is Primary and Behavioral Healthcare Services, PA's NPI number?
- Primary and Behavioral Healthcare Services, PA's National Provider Identifier (NPI) is 1710545488, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Primary and Behavioral Healthcare Services, PA?
- Primary and Behavioral Healthcare Services, PA is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Primary and Behavioral Healthcare Services, PA located?
- Primary and Behavioral Healthcare Services, PA's practice location on file with NPPES is 717 E. Fortification St., Jackson, MS 39202-2402.
- What is Primary and Behavioral Healthcare Services, PA's phone number?
- The practice phone number listed in the NPPES registry for Primary and Behavioral Healthcare Services, PA is (769) 572-4009.
- Does Primary and Behavioral Healthcare Services, PA accept Medicare?
- Primary and Behavioral Healthcare Services, PA 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 Primary and Behavioral Healthcare Services, PA?
- The authorized official listed on Primary and Behavioral Healthcare Services, PA's NPPES record is Shameca Hudson, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Primary and Behavioral Healthcare Services, PA's NPI active?
- Yes — Primary and Behavioral Healthcare Services, PA's NPI (1710545488) is active in the NPPES registry as of the last update on 2024-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.