Pathway Healthcare- Mississippi LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

PATHWAY HEALTHCARE- MISSISSIPPI LLC

Practice address

5 Dunnbarr Ste 1
Laurel, MS 39440-1041

Phone

(662) 434-4210

Fax

(205) 848-2227

NPI assigned

Jan 18, 2018

Last updated

Jun 23, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristina Moore

Title

Data and Integration

Phone

(205) 208-9312

Specialties & licenses 1

Addresses

Other names 1

• Pathway Healthcare Laurel MS Other name

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Pathway Healthcare - Jackson, Ms, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Jackson, MS
  • NPI 1487179156
  NPPES parent name

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chelsea Brooks, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Flowood, MS
  • NPI 1770367716
  Medicare reassignment Care Compare group NPD
• Cheryl Cooper, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, MS
  • NPI 1174302830
  Medicare reassignment Care Compare group NPD
• April Stevenson Corcoran

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, MS
  • NPI 1861009714
  Medicare reassignment Care Compare group NPD
• Jennifer Ann Floyd

  • Nurse Practitioner
  • Senatobia, MS
  • NPI 1508553512
  Medicare reassignment Care Compare group NPD
• Deborah Virginia Gross, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Jackson, MS
  • NPI 1982717997
  Medicare reassignment Care Compare group NPD
• Stuart David Milan, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Flowood, MS
  • NPI 1689766958
  Medicare reassignment Care Compare group NPD
• Duke J Wood, DO

  • Addiction Medicine (Family Medicine) Physician
  • Columbus, MS
  • NPI 1285785931
  Medicare reassignment Care Compare group NPD
• Billy Davis, DO

  • Addiction Medicine (Family Medicine) Physician
  • Huntsville, AL
  • NPI 1225484561

  MS

  Medicare reassignment NPD
• Sarah Katherine Gantz Pannel, D.O

  • Psychiatry Physician
  • Grenada, MS
  • NPI 1013110857
  Medicare reassignment
• Tiffanie Nix

  • Counselor
  • McComb, MS
  • NPI 1790155810
  NPD
• Jillian Mosley, LPC

  • Professional Counselor
  • Mobile, AL
  • NPI 1003285578
  NPD
• Stephen Mark Taylor, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Birmingham, AL
  • NPI 1447354907
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1013425503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E STE 453",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353472",
            "telephone_number": "205-208-9312",
            "fax_number": "205-848-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DUNNBARR STE 1",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401041",
            "telephone_number": "662-434-4210",
            "fax_number": "205-848-2227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2655 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329516",
            "country_code": "US",
            "telephone_number": "601-957-7343",
            "fax_number": "601-957-7344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 2nd Ave N",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397014513",
            "country_code": "US",
            "telephone_number": "662-434-4210",
            "fax_number": "662-657-1044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATHWAY HEALTHCARE- MISSISSIPPI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "DATA AND INTEGRATION",
        "authorized_official_telephone_number": "205-208-9312"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathway Healthcare Laurel MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bharat Patel, M.D.
• Himali Patel, OD
• Jaishri B Patel, MD
• Rajesh Yashwant Patel, MD
• Thilini Sandamali Pathigoda Acharige, MD
• Peak Physical Therapy, LLC (Peak Physical Therapy)
• Megan Eileen Peak, AGNP
• Terry Ratcliff Perkins, LPC
• Mona Genelle Pernia, MD
• Personal Touch LLC

• Addiction Medicine (Family Medicine) Physician in Laurel, MS
• Providers in Laurel, MS by specialty
• Addiction Medicine (Family Medicine) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.