Tanisha Martin
Psychiatric/Mental Health Nurse Practitioner · Southaven, MS
Tanisha Martin is a psychiatric/mental health nurse practitioner with a practice address in Southaven, Mississippi, and NPI 1649753161, issued on Sep 11, 2018. Check the license (Mississippi 902907, as entered in NPPES) with the Mississippi board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Tanisha Martin
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License number
- 902907 MS
Self-reported in NPPES; status is on the state search - Practice location
- 8626 Airways Blvd, Southaven, MS 38671
- Phone
- (662) 832-0302
- Enumerated
- Sep 11, 2018
- Record last updated
- Sep 11, 2018 (not updated in 8 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20181101001967); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest psychiatric/mental health nurse practitioner records → All 624 in Mississippi → Look up another NPI →
Also registered at 8626 Airways Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Jennifer Buford, LMSWClinical Social Worker1356140230
- Christine Cameron, OTRLOccupational Therapist1942331293
- Abigail Cannon, PLPCProfessional Counselor1528937943
Verify Tanisha Martin in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license 902907Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 3 group practices
- Mdb Behavioral Health Services LLCVicksburg, MS
- Northeast Mental Health-Mental Retardation CommissionTupelo, MS
- Uppal Medical Center LLCGreenville, MS
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Tanisha Martin among 624 psychiatric/mental health nurse practitioner records in Mississippi
Tanisha Martin is one of 624 psychiatric/mental health nurse practitioner records with a practice address in Mississippi. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 33% of them.
- NPI issued2018 · 33% of these records are older, 62% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2018 · median 2020 among the 366 with a school on file
- Record last updated2018 · 30% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0808X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
21 psychiatric/mental health nurse practitioner records list a practice address in Southaven
They are 21 of the 1,123 NPPES records with a practice address in Southaven, and 624 psychiatric/mental health nurse practitioner records in Mississippi.
All 624 in Mississippi → Every provider in Southaven → Psychiatric/Mental Health Nurse Practitioner nationwide →
The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes
- Olivia Ball, PMHNP-BCSouthaven, MS 386711588208094
- Amanda Folsom, PMHNPSouthaven, MS 386711851916837
- Madison Gooch, DNPSouthaven, MS 386711437978103
- Sherikee GrimSouthaven, MS 386711548096845
- Amanda JacksonSouthaven, MS 386711295581486
- Terea McMahonSouthaven, MS 386711992371330
- Kimberly Mettetal, C.F.N.P. CPMHNPSouthaven, MS 386711194911453
- Karen Purnell, PMHNPSouthaven, MS 386711023934619
Common questions
What is Tanisha Martin's NPI number?
Tanisha Martin's National Provider Identifier (NPI) is 1649753161, issued on Sep 11, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Tanisha Martin located?
The NPPES record lists a practice address at 8626 Airways Blvd, Southaven, MS, 38671. Phone: (662) 832-0302. Providers update this record themselves, so call before visiting.
How can I verify Tanisha Martin's license?
NPPES lists Mississippi license number 902907, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.