Individual provider Active NPI

Rebecca Suzanne Pugh, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1881447860
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
906619 Issued in MS
Practice address
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone
(601) 579-3486
NPI assigned
Apr 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 906619 MS Primary

Addresses

Primary practice location

415 S 28TH Ave
Hattiesburg, MS 39401-7246

Mailing address

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 579-3486

Other practice location 1

15 Orleans Dr
Hattiesburg, MS 39402-8675
Phone (601) 579-5050

Other practice location 2

502 Broad St
Columbia, MS 39429-3037
Phone (601) 736-8282

Other practice location 3

50 Parkway Ln Ste 10
Petal, MS 39465-3054
Phone (601) 544-7404

Other practice location 4

7148 U S Highway 98 Ste 101
Hattiesburg, MS 39402-9133
Phone (601) 261-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240506000996 MS Practitioner - Nurse Practitioner 0244670446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hattiesburg Clinic PAGroup PAC ID 5193706794, 525 clinicians

Practice addresses (Care Compare)

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
906619MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Hands Behavioral Health and Wellness LLC CurrentSince Apr 13, 2024 Accepting new patients
Hattiesburg Clinic, PA CurrentSince Mar 24, 2025 Accepting new patients
Hattiesburg Clinic PA CurrentSince Mar 24, 2025 Accepting new patients
Hattiesburg Clinic PA Past Accepting new patients
State of Mississippi - University of Mississippi Medical Center Past Accepting new patients

Locations

502 Broad St
Columbia, MS 39429
Phone (601) 736-8282

15 Orleans Dr
Hattiesburg, MS 39402
Phone (601) 450-1370

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

7148 U S Highway 98
Ste 101
Hattiesburg, MS 39402
Phone (601) 226-1150

29 Second St W
Ste B
Meadville, MS 39653
Phone (601) 393-1953

314 Main St
Ste B
Monticello, MS 39654
Phone (601) 393-1953

50 Parkway Ln
Ste 10
Petal, MS 39465
Phone (601) 544-7404

Interoperability endpoints

  • Direct secure messaging: rreeves38037@directpatientrecord.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1881447860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-579-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-579-3486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Orleans Dr",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394028675",
            "country_code": "US",
            "telephone_number": "601-579-5050",
            "fax_number": "601-296-6872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MS",
            "postal_code": "394293037",
            "country_code": "US",
            "telephone_number": "601-736-8282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Parkway Ln Ste 10",
            "address_purpose": "LOCATION",
            "city": "Petal",
            "state": "MS",
            "postal_code": "394653054",
            "country_code": "US",
            "telephone_number": "601-544-7404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7148 U S Highway 98 Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394029133",
            "country_code": "US",
            "telephone_number": "601-261-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGH",
        "first_name": "REBECCA",
        "middle_name": "SUZANNE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "906619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.