Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Roots Psychiatry Inc

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1558152066

Southern Roots Psychiatry Inc is a Psychiatric/Mental Health Nurse Practitioner in Marianna, Florida. Works from 3 locations. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4469 Clinton St Ste B
Marianna, FL 32446-3453
Phone: (850) 693-4171
Fax: (850) 303-6006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 90 Southern Oak Dr, Dothan, AL 36301-7643 — (850) 693-4171
  • 612 Byrd Parker Dr, Wewahitchka, FL 32465-3304 — (850) 693-4171

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1558152066
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Sizemore — Owner / Pmhnp-Bc · (850) 693-4171
NPI enumeratedMay 14, 2025
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026
Mailing address90 Southern Oak Dr, Dothan, AL 36301-7643

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