Purvis Upper Elementary School

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

PURVIS UPPER ELEMENTARY SCHOOL

Doing business as

Purvis Upper Elementary School

Practice address

310 Mitchell Ave
Purvis, MS 39475-4058

Phone

(601) 794-2959

Fax

(601) 796-9437

NPI assigned

May 13, 2021

Reactivated

Jul 8, 2022

Last updated

Feb 5, 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

Ceo

Phone

(601) 545-8700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Purvis Upper 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 1881268068. Details of each certification follow.

• CCN 251135 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 251135

Legal name

SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.

Doing business as

PURVIS UPPER ELEMENTARY SCHOOL

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Sep 13, 2022

Last certification

Sep 13, 2022

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

May 29, 1979 in MS

Enrollment address

310 Mitchell Ave
Purvis, MS 39475-4058

Tax ID family

Bellevue Elementary59 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

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

• Beaumont Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Beaumont, MS
  • NPI 1831166826
  NPD tax ID
• Bellevue Elementary

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1902502453
  NPD tax ID
• Hattiesburg High School and Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1760451777
  NPD tax ID
• Mary Bethune Alternative School

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1790725224
  NPD tax ID
• New Augusta Family Health Center

  • Federally Qualified Health Center (FQHC)
  • New Augusta, MS
  • NPI 1881661874
  NPD tax ID
• Oak Grove High School

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1790359966
  NPD tax ID
• Oak Grove Middle School

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1962076133
  NPD tax ID
• Perry Central High School

  • Federally Qualified Health Center (FQHC)
  • New Augusta, MS
  • NPI 1740226976
  NPD tax ID
• Petal Middle School

  • Federally Qualified Health Center (FQHC)
  • Petal, MS
  • NPI 1720327919
  NPD tax ID
• Petal School Clinic

  • Federally Qualified Health Center (FQHC)
  • Petal, MS
  • NPI 1952724650
  NPD tax ID
• Purvis Lower Elementary School

  • Federally Qualified Health Center (FQHC)
  • Purvis, MS
  • NPI 1972177152
  NPD tax ID
• Purvis Middle School

  • Federally Qualified Health Center (FQHC)
  • Purvis, MS
  • NPI 1952982399
  NPD tax ID

All disclosed owners & managing parties 11

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 36

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

Facilities with the same owner 36

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Baxterville School

  dba Baxterville School (K - 8)

  • Federally Qualified Health Center (FQHC)
  • Lumberton, MS
  • NPI 1679157028

  Southeast Mississippi Rural Health Initiative, Inc.

  CMS ownership
• Bellevue Elementary

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1902502453

  Southeast Mississippi Rural Health Initiative, Inc.

  CMS ownership
• Brooklyn Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, MS
  • NPI 1659348076

  Southeast Mississippi Rural Health Initiative, Inc.

  CMS ownership
• Forrest County Agricultural High School

  dba Forrest Agricultural High School

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, MS
  • NPI 1407363559

  Southeast Mississippi Rural Health Initiative, Inc.

  CMS ownership
• Hattiesburg High School and Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1760451777

  Southeast Mississippi Rural Health Initiative, Inc.

  CMS ownership
• Hattiesburg High School Campus Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1427328889

  Southeast Mississippi Rural Health Initiative, Inc.

  CMS ownership
• Hattiesburg Public School and Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1023087400

  Southeast Mississippi Rural Health Initiative, Inc.

  CMS ownership
• Lamar County School Clinic

  • Federally Qualified Health Center (FQHC)
  • Purvis, MS
  • NPI 1679147847

  Southeast Mississippi Rural Health Initiative, Inc.

  CMS ownership
• Lumberton Elementary School

  • Federally Qualified Health Center (FQHC)
  • Lumberton, MS
  • NPI 1538733795

  Southeast Mississippi Rural Health Initiative, Inc.

  CMS ownership
• Lumberton Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Lumberton, MS
  • NPI 1164499174

  Southeast Mississippi Rural Health Initiative, Inc.

  CMS ownership
• Lumberton High School

  dba Lumberton High School (9-12)

  • Federally Qualified Health Center (FQHC)
  • Lumberton, MS
  • NPI 1356915516

  Southeast Mississippi Rural Health Initiative, Inc.

  CMS ownership
• Minor Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1508874769

  Southeast Mississippi Rural Health Initiative, Inc.

  CMS ownership

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1881268068",
    "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": "601-450-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MITCHELL AVE",
            "city": "PURVIS",
            "state": "MS",
            "postal_code": "394754058",
            "telephone_number": "601-794-2959",
            "fax_number": "601-796-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURVIS UPPER ELEMENTARY SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "deactivation_date": "2021-07-20",
        "reactivation_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-545-8700"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200003328",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purvis Upper Elementary School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Purvis Upper Elementary School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Precision Vision Inc.
• Professional Rehabilitation Services (Purvis Chiropractic Clinic)
• Purvis High School
• Purvis Lower Elementary School
• Purvis Middle School
• Quality Care Home Health (Shakiea Johnson)
• Christopher Ryan Rawls, MD
• Rebekah Rayburn, LPC
• David S Reynolds, M.D.
• Farrah Richards

• Federally Qualified Health Center (FQHC) in Purvis, MS
• Providers in Purvis, 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 Feb 5, 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.