NPIMap

Organization Active NPI

New Augusta Family Health Center

  • Federally Qualified Health Center (FQHC)
  • New Augusta, MS
National Provider Identifier
1881661874
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEW AUGUSTA FAMILY HEALTH CENTER
Practice address
404 S Main St
New Augusta, MS 39462-9756
Phone
(601) 964-8391
Fax
(601) 964-8398
NPI assigned
Mar 8, 2006
Organization subpart
Yes
Parent organization
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Janice Robinson
Title
Executive Director
Phone
(601) 545-8700

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

Facilities with the same owner 36

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

View all 36

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 34

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0858902New Augusta Family Health Center404 Main Street, New Augusta, MS 39462Provider-performed microscopyDec 15, 2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

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…
O20091118000544 MS Part a Provider - Federally Qualified Health Center (FQHC) 2466342605 Practice locations: New Augusta, MS

Federally qualified health center certification: CCN 251816

Medicare enrollment files
Legal name
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Doing business as
NEW AUGUSTA FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 1, 1992
Last certification
Jul 1, 1992
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
May 29, 1979 in MS
Enrollment address
404 Main Street
New Augusta, MS 39462-0349

All disclosed owners & managing parties 12

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Larry Davis Individual Corporate DirectorBoard Member Mar 23, 2021
Deborah Gambrell Individual Corporate DirectorBoard Member Jun 27, 2023
Karen Speed Individual Corporate Director Jun 29, 2004
Sherlita Babineaux Individual Corporate DirectorBoard Member Jun 27, 2023
Nanni Freeman Individual Corporate Director Apr 26, 2005
Southeast Mississippi Rural Health Initiative, Inc. Organization, Hattiesburg, MS Corporation, Medical provider/supplier, Non-profit 5% Or Greater Direct Ownership Interest May 29, 1979 100%
Maxine Bolton Individual Corporate Director Oct 28, 2014
Janice Robinson Individual Corporate OfficerCeo Jan 23, 2023 100%
Corporate DirectorCeo Jan 23, 2023 100%
W-2 Managing EmployeeCeo Jan 23, 2023 100%
Virginia Burks Individual Corporate Director Jan 1, 1954
Joyce Woullard Individual Corporate Director Sep 26, 1995
Derrick Autmon Individual Corporate DirectorVice President of Board Members Jun 23, 2015
Terry King Individual Corporate DirectorBoard Member Jun 27, 2023

All facility ownership & control disclosures 36

Medicare enrollment files

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

FacilityTypeRoleSince
Hattiesburg Public School and Community ClinicHattiesburg, MS, CCN 251934 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1979
Woodley Elementary SchoolHattiesburg, MS, CCN 251942 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1979
Hattiesburg High School and Community ClinicHattiesburg, MS, CCN 251943 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1979
N. R. Burger School and Community ClinicHattiesburg, MS, CCN 251941 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1979
Minor Care ClinicHattiesburg, MS, CCN 251961 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1979
Picayune Family Health CenterPicayune, MS, CCN 251966 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1979
Lumberton Family Health CenterLumberton, MS, CCN 251865 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1979
Brooklyn Family Health CenterBrooklyn, MS, CCN 251864 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1979
Women'S Health CenterHattiesburg, MS, CCN 251874 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1979
Hattiesburg Family Health CenterHattiesburg, MS, CCN 251849 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1979
Seminary Family Health CenterSeminary, MS, CCN 251814 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1979
Petal Elementary SchoolPetal, MS, CCN 251013 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1979
Petal Primary SchoolPetal, MS, CCN 251017 Federally qualified health center Operational/Managerial Control (100%) May 29, 1979
Petal Upper Elementary SchoolPetal, MS, CCN 251016 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1979
Petal Middle SchoolPetal, MS, CCN 251012 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1976
Petal High SchoolPetal, MS, CCN 251015 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1976
Hattiesburg High School CampusHattiesburg, MS, CCN 251009 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1976
Petal School ClinicPetal, MS, CCN 251023 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1976
Semrhi Support Service CenterHattiesburg, MS, CCN 251070 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1976
Forrest County Agricultural High SchoolBrooklyn, MS, CCN 251068 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1976
Baxterville School (K -8)Lumberton, MS, CCN 251129 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1979
Purvis Lower Elementary SchoolPurvis, MS, CCN 251132 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1979
Oak Grove LongleafHattiesburg, MS, CCN 251133 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2022
Purvis High SchoolPurvis, MS, CCN 251145 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 14, 2022
Sumrall Elementary SchoolSumrall, MS, CCN 251136 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2022
Lamar County School ClinicPurvis, MS, CCN 251138 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2022
Oak Grove ElementaryHattiesburg, MS, CCN 251146 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2022
Sumrall High SchoolSumrall, MS, CCN 251147 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2022
Sumrall Middle SchoolSumrall, MS, CCN 251139 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2022
Purvis Middle SchoolPurvis, MS, CCN 251142 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2022
Oak Grove High SchoolHattiesburg, MS, CCN 251141 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2022
Oak Grove Middle SchoolHattiesburg, MS, CCN 251131 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2022
Lumberton ElementaryLumberton, MS, CCN 251130 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2022
Purvis Upper Elementary SchoolPurvis, MS, CCN 251135 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1979
Lumberton High SchoolLumberton, MS, CCN 251144 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2022
Bellevue ElementaryHattiesburg, MS, CCN 251152 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1979

National Provider Directory

National Provider Directory
Tax ID family
Seminary Clinic59 organizations share this tax ID, including this one
Part of
Seminary Clinic

Organizations with this tax ID in the same state 22

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

View all 22

Locations

44 Brooklyn Janice Rd
Brooklyn, MS 39425
Phone (601) 582-1188

123 S 27th Ave
Hattiesburg, MS 39401
Phone (601) 450-3030

790 Elks Lake Rd
Hattiesburg, MS 39401
Phone (601) 582-4890

901 Ida Ave
Hattiesburg, MS 39401
Phone (601) 582-5291

404 S Main St
New Augusta, MS 39462
Phone (601) 964-8391

213 School St
Purvis, MS 39475
Phone (601) 794-1068

1217 Highway 42
Sumrall, MS 39482
Phone (601) 758-4416

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X MS Primary

Addresses

NPPES NPI Registry

Primary practice location

404 S Main St
New Augusta, MS 39462-9756

Mailing address

PO Box 1729
Hattiesburg, MS 39403-1729
Phone (601) 545-8700

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
009013878MedicaidMS

Other names 1

NPPES NPI Registry
  • New Augusta Family Health Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 6, 2026.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1881661874",
    "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": "601-450-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S MAIN ST",
            "city": "NEW AUGUSTA",
            "state": "MS",
            "postal_code": "394629756",
            "telephone_number": "601-964-8391",
            "fax_number": "601-964-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AUGUSTA FAMILY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC",
        "enumeration_date": "2006-03-08",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "601-545-8700"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009013878",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Augusta Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Augusta Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Augusta, MS

Sources for this page

Verify at the official NPI Registry.