NPI

Hernando Psychiatry Llc

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2023-03-22
Last updated
2023-03-22

Specialties

Licenses

The registry row did not include a license.

Location

Practice location
324 W Valley St Ste 108
City
Hernando MS
Postal code
38632-1749
Phone
(901) 491-0130

Organization contact

Name
ETHAN SMITHERMAN
Title
Owner
Phone
9014910130

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Hernando, MS. 354 records in the public file.

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