Southeast Mississippi Rural Health Initiative, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.

Doing business as

Thames Elementary School

Practice address

2900 Jamestown Rd
Hattiesburg, MS 39402-2408

Phone

(601) 545-8700

Fax

(601) 582-5461

NPI assigned

May 12, 2006

Last updated

Jun 3, 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

Janice Robinson

Title

Cheif Executive Officer

Phone

(601) 545-8700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Thames Elementary School Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013967603. Details of each certification follow.

• CCN 251938 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 251938

Legal name

SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.

Doing business as

THAMES ELEMENTARY SCHOOL

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Mar 29, 2005

Last certification

Mar 29, 2005

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

2900 Jamestown Rd
Hattiesburg, MS 39402-2408

Tax ID family

Bellevue Elementary59 organizations share this tax ID, including this one

Part of

Bellevue Elementary

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Dixie Attendance Center

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1164462610
  NPD tax ID
• Hattiesburg Public School and Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1023087400
  NPD tax ID
• Hawkins Elementary School

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1194783985
  NPD tax ID
• Lumberton Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Lumberton, MS
  • NPI 1164499174
  NPD tax ID
• Oak Grove Longleaf

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1053985226
  NPD tax ID
• Petal Primary School

  • Federally Qualified Health Center (FQHC)
  • Petal, MS
  • NPI 1184961153
  NPD tax ID
• Picayune Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Picayune, MS
  • NPI 1003013764
  NPD tax ID
• South Forrest Attendance Center

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, MS
  • NPI 1306881149
  NPD tax ID
• South Perry Elementary School

  • Federally Qualified Health Center (FQHC)
  • Beaumont, MS
  • NPI 1003852203
  NPD tax ID
• Southeast Mississippi Rural Health Initiative, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1043492770
  NPD tax ID
• Southeast Mississippi Rural Health Initiative, Inc.

  dba Runnelstown School

  • Federally Qualified Health Center (FQHC)
  • Petal, MS
  • NPI 1225073968
  NPD tax ID
• Southeast Mississippi Rural Health Initiative, Inc.

  dba Grace Christian Elementary School

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1245209626
  NPD tax ID

Networks

• devoted network organization-312996e8-0395-4844-8713-25a9dcc210ca

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

All facility ownership & control disclosures 37

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1013967603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1729",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394031729",
            "telephone_number": "601-545-8700",
            "fax_number": "601-582-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 JAMESTOWN RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022408",
            "telephone_number": "601-545-8700",
            "fax_number": "601-582-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "601-545-8700"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002286897",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thames Elementary School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thames Elementary School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Mississippi Health Care (Southern Medical Supply)
• South Mississippi Health Service, Inc (South Mississippi Psychiatric Group)
• South Mississippi Intraoperative Monitoring, LLC
• South Mississippi Neurosurgical Services, PLLC
• Southeast Mississippi Rural Health Initiative, Inc (Oak Grove Upper Elementary)
• Southeast Mississippi Rural Health Initiative, Inc.
• Southeast Mississippi Rural Health Initiative, Inc. (Grace Christian Elementary School)
• Southeast Mississippi Rural Health Initiative, Inc. (North Forrest Attendance Center)
• Southeast Mississippi Rural Health Initiative, Inc. (Hattiesburg Family Health Center)
• Southeast Mississippi Rural Health Initiative, Inc. (Lillie Burney Elementry School)

• Federally Qualified Health Center (FQHC) in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Federally Qualified Health Center (FQHC) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.