Active NPI
Southeast Mississippi Rural Health Initiative, Inc.
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
- Practice address
- 5488 U S Highway 49
Hattiesburg, MS 39401-7806 - Phone
- (601) 545-8700
- Fax
- (601) 582-5461
- NPI assigned
- Dec 5, 2007
- Last updated
- Sep 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Janice Robinson
- Title
- Chief Executive Officer
- Phone
- (601) 545-8700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | MS | Primary |
Addresses
Primary practice location
5488 U S Highway 49
Hattiesburg, MS 39401-7806
Mailing address
PO Box 1729
Hattiesburg, MS 39403-1729
Phone (601) 545-8700
Other practice location 1
215 Old Highway 49 E
Brooklyn, MS 39425-9028
Phone (601) 545-8700
Other practice location 2
1201 Bilbo Rd
Lumberton, MS 39455-8670
Phone (601) 545-8700
Other practice location 3
213 School St
Purvis, MS 39475-9004
Phone (601) 545-8700
Other practice location 4
526 Forrest St
Hattiesburg, MS 39401-3458
Phone (601) 545-8700
Other practice location 5
598 W 11th Ave
Lumberton, MS 39455-2350
Phone (601) 796-4215
Other practice location 6
180 W S F Tatum Blvd
Hattiesburg, MS 39401-7700
Phone (601) 450-0805
Other practice location 7
123 S 27th Ave
Hattiesburg, MS 39401-7136
Phone (601) 450-3030
Other practice location 8
404 S Main St
New Augusta, MS 39462-9756
Phone (601) 964-8391
Other practice location 9
60 Herrington Rd
Petal, MS 39465-8842
Phone (601) 545-8700
Other practice location 10
5198 Old Highway 11
Hattiesburg, MS 39402-6222
Phone (601) 545-8700
Other practice location 11
404 Lillie Burney St
Hattiesburg, MS 39401-5505
Phone (601) 450-6500
Other practice location 12
203 Highway 42
Petal, MS 39465-2864
Phone (601) 545-8700
Other practice location 13
1145 Highway 42
Petal, MS 39465-9740
Phone (601) 545-8700
Other practice location 14
60 Herrington Rd
Petal, MS 39465-8842
Phone (601) 545-8700
Other practice location 15
70 Leaf Ln
Hattiesburg, MS 39402-9549
Phone (601) 545-8700
Other practice location 16
605 Stadium Dr
Hattiesburg, MS 39401-4156
Phone (601) 450-0310
Other practice location 17
2006 O Ferral St
Hattiesburg, MS 39402
Phone (601) 545-8700
Other practice location 18
68 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone (601) 583-4800
Other practice location 19
66 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone (601) 544-7500
Other practice location 20
1411 Bradley Ave
Beaumont, MS 39423-5611
Phone (601) 784-3922
Other practice location 21
310 Mitchell Ave
Purvis, MS 39475-4058
Phone (601) 545-8700
Other practice location 22
1760 Old Highway 24
Hattiesburg, MS 39402-8235
Phone (601) 545-8700
Other practice location 23
16 Ada Bounds Dr
Lumberton, MS 39455-2343
Phone (601) 545-8700
Other practice location 24
7920 U S Highway 11
Lumberton, MS 39455-2411
Phone (601) 545-8700
Other practice location 25
1217 Highway 42
Sumrall, MS 39482-9612
Phone (601) 545-8700
Other practice location 26
1179 Highway 42
Petal, MS 39465-9740
Phone (601) 545-8700
Other practice location 27
400 Hillcrest Loop
Petal, MS 39465-2634
Phone (601) 545-8700
Other practice location 28
500 Martin Luther King Dr
Purvis, MS 39475-5028
Phone (601) 545-8700
Other practice location 29
100 Highway 535
Seminary, MS 39479-8809
Phone (601) 722-3208
Other practice location 30
1016 Highway 42
Sumrall, MS 39482-9634
Phone (601) 758-4215
Other practice location 31
790 Elks Lake Rd
Hattiesburg, MS 39401-0357
Phone (601) 545-8700
Other practice location 32
1911 Read Rd
Picayune, MS 39466-2730
Phone (601) 251-3500
Other practice location 33
2543 Old Highway 24
Hattiesburg, MS 39402-8349
Phone (601) 545-8700
Other practice location 34
5976 US Highway 11
Purvis, MS 39475-5066
Phone (601) 545-8700
Other practice location 35
9899 Highway 98
New Augusta, MS 39462-6073
Phone (601) 545-8700
Other practice location 36
5279 W 4th St
Hattiesburg, MS 39402-9700
Phone (601) 545-8700
Other practice location 37
184 Center Ave
Sumrall, MS 39482-9629
Phone (601) 545-8700
Other practice location 38
198 Todd Rd
Sumrall, MS 39482-5460
Phone (601) 545-8700
Other practice location 39
200 School St
Purvis, MS 39475
Phone (601) 545-8700
Other practice location 40
2900 Jamestown Rd
Hattiesburg, MS 39402-2408
Phone (601) 545-8700
Other practice location 41
500 Martin Luther King Ave
Hattiesburg, MS 39401-5316
Phone (601) 545-8700
Other practice location 42
10 Archie Smith Rd
Hattiesburg, MS 39402-9315
Phone (601) 545-8700
Other practice location 43
693 Eatonville Rd
Hattiesburg, MS 39401-9708
Phone (601) 545-8700
Other practice location 44
610 Dumas Ave
Hattiesburg, MS 39401-6424
Phone (601) 545-8700
Other practice location 45
64 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone (601) 909-9390
Other practice location 46
44 Brooklyn Janice Rd
Brooklyn, MS 39425-9731
Phone (601) 582-1188
Other practice location 47
400 Hillcrest Loop
Petal, MS 39465-2634
Phone (601) 545-8700
Other practice location 48
424 Martin Luther King Dr Rm 5
Purvis, MS 39475-5028
Phone (601) 545-8700
Other practice location 49
72 Old Airport Rd.
Hattiesburg, MS 39401-8382
Phone (601) 602-5518
Other practice location 50
62 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone (601) 544-4550
Other practice location 51
316 Travillion Rd
Hattiesburg, MS 39401-8361
Phone (601) 545-8700
Other practice location 52
702 Eatonville Rd
Hattiesburg, MS 39401-9794
Phone (601) 545-8700
Other practice location 53
8 Burborne St
Brooklyn, MS 39425-9732
Phone (601) 545-8700
Other practice location 54
9214 Highway 42
Petal, MS 39465-8604
Phone (601) 545-8700
Other practice location 55
901 Ida Ave
Hattiesburg, MS 39401-7776
Phone (601) 545-8700
Other practice location 56
1300 Beaumont Brooklyn Rd
Beaumont, MS 39423-2233
Phone (601) 545-8700
Other practice location 57
301 Hutchinson Ave
Hattiesburg, MS 39401-4134
Phone (601) 450-6101
Other practice location 58
100 8th Ave S
New Augusta, MS 39462
Phone (601) 545-8700
Other practice location 59
2207 W 7th St
Hattiesburg, MS 39401-2962
Phone (601) 545-8700
Other practice location 60
36 Panther Stadium Dr
Petal, MS 39465-3632
Phone (601) 450-2144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040319000300 | MS | Part B Supplier - Clinic/Group Practice | 2466342605 |
Receives reassigned benefits from 59 practitioners 19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Brooklyn, MS; Sumrall, MS; Seminary, MS; Picayune, MS; Petal, MS; New Augusta, MS; Lumberton, MS; Hattiesburg, MS… |
Other NPIs on the same Medicare enrollment 19
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Beaumont, MS
- NPI 1831166826
O20040319000300
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, MS
- NPI 1659348076
O20040319000300
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1760451777
O20040319000300
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1427328889
O20040319000300
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1023087400
O20040319000300
-
- Federally Qualified Health Center (FQHC)
- Lumberton, MS
- NPI 1164499174
O20040319000300
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1508874769
O20040319000300
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1518907054
O20040319000300
-
- Federally Qualified Health Center (FQHC)
- New Augusta, MS
- NPI 1881661874
O20040319000300
-
- Federally Qualified Health Center (FQHC)
- Petal, MS
- NPI 1720327919
O20040319000300
-
- Federally Qualified Health Center (FQHC)
- Petal, MS
- NPI 1184961153
O20040319000300
-
- Federally Qualified Health Center (FQHC)
- Petal, MS
- NPI 1952724650
O20040319000300
National Provider Directory
National Provider Directory- Tax ID family
- Bellevue Elementary
Organizations with this tax ID in the same state 17
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1164462610
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1023087400
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1194783985
-
- Federally Qualified Health Center (FQHC)
- Lumberton, MS
- NPI 1164499174
-
dba Lumberton High School (9-12)
- Federally Qualified Health Center (FQHC)
- Lumberton, MS
- NPI 1356915516
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1053985226
-
- Federally Qualified Health Center (FQHC)
- Petal, MS
- NPI 1184961153
-
- Federally Qualified Health Center (FQHC)
- Picayune, MS
- NPI 1003013764
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, MS
- NPI 1306881149
-
- Federally Qualified Health Center (FQHC)
- Beaumont, MS
- NPI 1003852203
-
dba Thames Elementary School
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1013967603
-
dba Runnelstown School
- Federally Qualified Health Center (FQHC)
- Petal, MS
- NPI 1225073968
Locations
5488 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 545-2896
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Family Nurse Practitioner
- Hattiesburg, MS
- NPI 1952570723
-
- Family Medicine Physician
- Hattiesburg, MS
- NPI 1861445108
-
- Infectious Disease Physician
- Hattiesburg, MS
- NPI 1851703201
-
- Family Nurse Practitioner
- Richland, MS
- NPI 1548492945
-
- Family Nurse Practitioner
- Hattiesburg, MS
- NPI 1205305455
-
- Family Nurse Practitioner
- Brooklyn, MS
- NPI 1225514391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1043492770",
"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": "5488 U S HIGHWAY 49",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017806",
"telephone_number": "601-545-8700",
"fax_number": "601-582-5461"
}
],
"practiceLocations": [
{
"address_1": "215 Old Highway 49 E",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "MS",
"postal_code": "394259028",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 Bilbo Rd",
"address_purpose": "LOCATION",
"city": "Lumberton",
"state": "MS",
"postal_code": "394558670",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "213 School St",
"address_purpose": "LOCATION",
"city": "Purvis",
"state": "MS",
"postal_code": "394759004",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "526 Forrest St",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394013458",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "598 W 11th Ave",
"address_purpose": "LOCATION",
"city": "Lumberton",
"state": "MS",
"postal_code": "394552350",
"country_code": "US",
"telephone_number": "601-796-4215",
"fax_number": "601-796-9437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "180 W S F Tatum Blvd",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394017700",
"country_code": "US",
"telephone_number": "601-450-0805",
"fax_number": "601-450-0806",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "123 S 27th Ave",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394017136",
"country_code": "US",
"telephone_number": "601-450-3030",
"fax_number": "601-450-3031",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "404 S Main St",
"address_purpose": "LOCATION",
"city": "New Augusta",
"state": "MS",
"postal_code": "394629756",
"country_code": "US",
"telephone_number": "601-964-8391",
"fax_number": "601-964-8393",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "60 Herrington Rd",
"address_purpose": "LOCATION",
"city": "Petal",
"state": "MS",
"postal_code": "394658842",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5198 Old Highway 11",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394026222",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "404 Lillie Burney St",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394015505",
"country_code": "US",
"telephone_number": "601-450-6500",
"fax_number": "601-450-6503",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "203 Highway 42",
"address_purpose": "LOCATION",
"city": "Petal",
"state": "MS",
"postal_code": "394652864",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1145 Highway 42",
"address_purpose": "LOCATION",
"city": "Petal",
"state": "MS",
"postal_code": "394659740",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "60 Herrington Rd",
"address_purpose": "LOCATION",
"city": "Petal",
"state": "MS",
"postal_code": "394658842",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "70 Leaf Ln",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394029549",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "605 Stadium Dr",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394014156",
"country_code": "US",
"telephone_number": "601-450-0310",
"fax_number": "601-450-0321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2006 O Ferral St",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "39402",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "68 Old Airport Rd",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394018382",
"country_code": "US",
"telephone_number": "601-583-4800",
"fax_number": "601-584-7769",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "66 Old Airport Rd",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394018382",
"country_code": "US",
"telephone_number": "601-544-7500",
"fax_number": "601-544-7524",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1411 Bradley Ave",
"address_purpose": "LOCATION",
"city": "Beaumont",
"state": "MS",
"postal_code": "394235611",
"country_code": "US",
"telephone_number": "601-784-3922",
"fax_number": "601-784-3755",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "310 Mitchell Ave",
"address_purpose": "LOCATION",
"city": "Purvis",
"state": "MS",
"postal_code": "394754058",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1760 Old Highway 24",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394028235",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16 Ada Bounds Dr",
"address_purpose": "LOCATION",
"city": "Lumberton",
"state": "MS",
"postal_code": "394552343",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7920 U S Highway 11",
"address_purpose": "LOCATION",
"city": "Lumberton",
"state": "MS",
"postal_code": "394552411",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1217 Highway 42",
"address_purpose": "LOCATION",
"city": "Sumrall",
"state": "MS",
"postal_code": "394829612",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1179 Highway 42",
"address_purpose": "LOCATION",
"city": "Petal",
"state": "MS",
"postal_code": "394659740",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Hillcrest Loop",
"address_purpose": "LOCATION",
"city": "Petal",
"state": "MS",
"postal_code": "394652634",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Martin Luther King Dr",
"address_purpose": "LOCATION",
"city": "Purvis",
"state": "MS",
"postal_code": "394755028",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Highway 535",
"address_purpose": "LOCATION",
"city": "Seminary",
"state": "MS",
"postal_code": "394798809",
"country_code": "US",
"telephone_number": "601-722-3208",
"fax_number": "601-722-3304",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1016 Highway 42",
"address_purpose": "LOCATION",
"city": "Sumrall",
"state": "MS",
"postal_code": "394829634",
"country_code": "US",
"telephone_number": "601-758-4215",
"fax_number": "601-758-0614",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "790 Elks Lake Rd",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394010357",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1911 Read Rd",
"address_purpose": "LOCATION",
"city": "Picayune",
"state": "MS",
"postal_code": "394662730",
"country_code": "US",
"telephone_number": "601-251-3500",
"fax_number": "601-251-3504",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2543 Old Highway 24",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394028349",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5976 US Highway 11",
"address_purpose": "LOCATION",
"city": "Purvis",
"state": "MS",
"postal_code": "394755066",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9899 Highway 98",
"address_purpose": "LOCATION",
"city": "New Augusta",
"state": "MS",
"postal_code": "394626073",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5279 W 4th St",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394029700",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "184 Center Ave",
"address_purpose": "LOCATION",
"city": "Sumrall",
"state": "MS",
"postal_code": "394829629",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "198 Todd Rd",
"address_purpose": "LOCATION",
"city": "Sumrall",
"state": "MS",
"postal_code": "394825460",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 School St",
"address_purpose": "LOCATION",
"city": "Purvis",
"state": "MS",
"postal_code": "39475",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 Jamestown Rd",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394022408",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Martin Luther King Ave",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394015316",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Archie Smith Rd",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394029315",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "693 Eatonville Rd",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394019708",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "610 Dumas Ave",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394016424",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "64 Old Airport Rd",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394018382",
"country_code": "US",
"telephone_number": "601-909-9390",
"fax_number": "601-909-9389",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44 Brooklyn Janice Rd",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "MS",
"postal_code": "394259731",
"country_code": "US",
"telephone_number": "601-582-1188",
"fax_number": "601-582-8844",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Hillcrest Loop",
"address_purpose": "LOCATION",
"city": "Petal",
"state": "MS",
"postal_code": "394652634",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "424 Martin Luther King Dr Rm 5",
"address_purpose": "LOCATION",
"city": "Purvis",
"state": "MS",
"postal_code": "394755028",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "72 Old Airport Rd.",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394018382",
"country_code": "US",
"telephone_number": "601-602-5518",
"fax_number": "601-602-5517",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "62 Old Airport Rd",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394018382",
"country_code": "US",
"telephone_number": "601-544-4550",
"fax_number": "601-582-3373",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "316 Travillion Rd",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394018361",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "702 Eatonville Rd",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394019794",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8 Burborne St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "MS",
"postal_code": "394259732",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9214 Highway 42",
"address_purpose": "LOCATION",
"city": "Petal",
"state": "MS",
"postal_code": "394658604",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 Ida Ave",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394017776",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 Beaumont Brooklyn Rd",
"address_purpose": "LOCATION",
"city": "Beaumont",
"state": "MS",
"postal_code": "394232233",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 Hutchinson Ave",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394014134",
"country_code": "US",
"telephone_number": "601-450-6101",
"fax_number": "601-450-7746",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 8th Ave S",
"address_purpose": "LOCATION",
"city": "New Augusta",
"state": "MS",
"postal_code": "39462",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2207 W 7th St",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394012962",
"country_code": "US",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "36 Panther Stadium Dr",
"address_purpose": "LOCATION",
"city": "Petal",
"state": "MS",
"postal_code": "394653632",
"country_code": "US",
"telephone_number": "601-450-2144",
"fax_number": "601-450-2145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-05",
"last_updated": "2026-09-22",
"certification_date": "2026-09-03",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "JANICE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "601-545-8700",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
- 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. (Thames Elementary School)
- 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)
- Southeast Mississippi Rural Health Initiative, Inc. (Earl Travillion Attendance Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.