Organization Active NPI

Southeast Mississippi Rural Health Initiative, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
National Provider Identifier
1043492770
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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.

View all 19

National Provider Directory

National Provider Directory
Tax ID family
Bellevue Elementary59 organizations share this tax ID, including this one

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.

View all 17

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.

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",
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        },
        {
            "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

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.

Verify at the official NPI Registry.