NPIMap

Organization Active NPI

Oak Grove Elementary School

  • Student Health Clinic/Center
  • Hattiesburg, MS
National Provider Identifier
1194122994
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
876971 Issued in MS
Legal business name
OAK GROVE ELEMENTARY SCHOOL
Practice address
70 Leaf LN
Hattiesburg, MS 39402-9549
Phone
(601) 264-9764
NPI assigned
Nov 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Dr. Steven Hampton
Title
Superintendent of Education
Phone
(601) 794-1030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WS0200X R888519 MS
Student Health Clinic/Center 261QS1000X 876971 MS Primary

Addresses

Primary practice location

70 Leaf LN
Hattiesburg, MS 39402-9549

Mailing address

424 Martin Luther King Dr
Purvis, MS 39475-5028
Phone (601) 794-1030

Other identifiers 1

IdentifierTypeStateIssuer
02622376MedicaidMS

Other names 1

  • Oak Grove Primary School Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Lamar County School District19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1194122994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 MARTIN LUTHER KING DR",
            "city": "PURVIS",
            "state": "MS",
            "postal_code": "394755028",
            "telephone_number": "601-794-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LEAF LN",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394029549",
            "telephone_number": "601-264-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK GROVE ELEMENTARY SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "SUPERINTENDENT OF EDUCATION",
        "authorized_official_telephone_number": "601-794-1030",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, School",
            "state": "MS",
            "license": "R888519",
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "MS",
            "license": "876971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02622376",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Grove Primary School",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.