Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Clarence D Hayes, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1194604652

Clarence D Hayes, PMHNP-BC is a Nurse Practitioner in Gluckstadt, Mississippi. Qualified in 2025, 1 year ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
1
Licensed in
MS
In the registry since
2025
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

113 First Colony Blvd
Gluckstadt, MS 39110-6073
Phone: (601) 807-1624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 907722 (MS)

Record details

NPI number1194604652
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedAugust 29, 2025
Last updated in NPPESAugust 30, 2025
Certification dateAugust 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at State of Mississippi - University of Mississippi Medical Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 952 clinicians in the practice; 12 are shown here.