SOUTHERN ROOTS PSYCHIATRY INC
NPI 1558152066
Nurse Practitioner - Psychiatric/Mental Health in Marianna, FL
NPI Status: Active since May 14, 2025
- Organization
- Nurse Practitioner
- Psychiatric/Mental Health
About SOUTHERN ROOTS PSYCHIATRY INC
This page provides the complete NPI Profile along with additional information for Southern Roots Psychiatry Inc, a provider established in Marianna, Florida operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1558152066 assigned on May 2025. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated May 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jennifer Ethel Sizemore (Owner)
- NPI
- 1558152066
- Provider Name
- SOUTHERN ROOTS PSYCHIATRY INC
- Entity Type
- Organization
- Location Address
- 4296 5TH AVE MARIANNA, FL 32446
- Location Phone
- (850) 693-4171
- Mailing Address
- 90 SOUTHERN OAK DR DOTHAN, AL 36301
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-14-2025
- Last Update Date
- 05-29-2025
- Code Navigator
A nurse practitioner (NP) like Southern Roots Psychiatry Inc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 612 Byrd Parker Dr
Wewahitchka, FL 32465
(850) 693-4171 - 90 Southern Oak Dr
Dothan, AL 36301
(850) 693-4171
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 5 | 8 | 1 | 5 | 2 | 0 | 6 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 2 | 5 | 4 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 2 + 5 + 4 + 0 + 1 + 2 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1558152066 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1568469062 | JIRAYOS CHINTANADILOK Organization | Family Medicine | 4296 5TH AVE MARIANNA, FL 32446 (850) 482-2061 |
| 1033174594 | EVEREST MEDICAL CARE P A Organization | Internal Medicine | 4296 5TH AVE MARIANNA, FL 32446 (850) 482-2061 |
| 1417296914 | MARY E MALDONADO ARNP Individual | Nurse Practitioner (Family) | 4296 5TH AVE MARIANNA, FL 32446 (850) 482-2061 |
| 1306230164 | BRITTANY LYNNE MELVILLE APRN Individual | Nurse Practitioner (Acute Care) | 4296 5TH AVE MARIANNA, FL 32446 (850) 482-2061 |
| 1265691331 | ROBERT MICHAEL HALL ARNP Individual | Nurse Practitioner (Family) | 4296 5TH AVE MARIANNA, FL 32446 (850) 482-2061 |
| 1255965919 | JENNIFER ETHEL SIZEMORE MSN, RN, PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 4296 5TH AVE MARIANNA, FL 32446 (850) 693-4171 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558152066, enumerated in the NPI registry as an "organization" on May 14, 2025
The provider is located at 4296 5th Ave Marianna, Fl 32446 and the phone number is (850) 693-4171
This medical organization specializes in Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health
This NPI record was last updated on May 14, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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