Active NPI
Rowan Elementary School
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
National Provider Identifier
1912958679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- ROWAN ELEMENTARY SCHOOL
- Practice address
- 500 Martin Luther King Ave
Hattiesburg, MS 39401-5316 - Phone
- (601) 545-8700
- Fax
- (601) 582-5461
- NPI assigned
- May 15, 2006
- Organization subpart
- Yes
- Parent organization
- SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janice Robinson
- Title
- Chief Executive Officer
- Phone
- (601) 545-8700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | MS | Primary |
Addresses
Primary practice location
500 Martin Luther King Ave
Hattiesburg, MS 39401-5316
Mailing address
PO Box 1729
Hattiesburg, MS 39403-1729
Phone (601) 545-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004384328 | Medicaid | MS |
Other names 1
- Rowan Elementary School
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050302000955 | MS | Part A Provider - Federally Qualified Health Center (FQHC) | 2466342605 | Practice locations: Hattiesburg, MS |
Federally qualified health center certification: CCN 251945
- Legal name
- SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
- Doing business as
- ROWAN ELEMENTARY SCHOOL
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Mar 29, 2005
- Last certification
- Mar 29, 2005
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- May 29, 1979 in MS
- Enrollment address
- 500 Martin Luther King Drive
Hattiesburg, MS 39401-5316
National Provider Directory
National Provider Directory- Tax ID family
- Seminary Clinic
- Part of
- Seminary Clinic
Organizations with this tax ID in the same state 19
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Federally Qualified Health Center (FQHC)
- Beaumont, MS
- NPI 1831166826
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1902502453
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1760451777
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1790725224
-
- Federally Qualified Health Center (FQHC)
- New Augusta, MS
- NPI 1881661874
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1790359966
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1962076133
-
- Federally Qualified Health Center (FQHC)
- Petal, MS
- NPI 1952724650
-
- Federally Qualified Health Center (FQHC)
- Purvis, MS
- NPI 1972177152
-
- Federally Qualified Health Center (FQHC)
- Purvis, MS
- NPI 1952982399
-
- Federally Qualified Health Center (FQHC)
- Purvis, MS
- NPI 1881268068
-
- Federally Qualified Health Center (FQHC)
- Seminary, MS
- NPI 1851368260
Ownership & related parties
All disclosed owners & managing parties 10
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Larry Davis | Corporate Director | Mar 23, 2021 | |
| Deborah Gambrell | Corporate Director | Jun 27, 2023 | |
| Karen Speed | Corporate Director | Jun 29, 2004 | |
| Sherlita Babineaux | Corporate Director | Oct 31, 2023 | |
| Nanni Freeman | Corporate Director | Apr 26, 2005 | |
| Maxine Bolton | Corporate Director | Oct 28, 2014 | |
| Janice Robinson | Corporate Officer | Jan 23, 2023 | 100% |
| Corporate Director | Jan 23, 2023 | 100% | |
| W-2 Managing Employee | Jan 23, 2023 | 100% | |
| Virginia Burks | Corporate Director | Jan 1, 1954 | |
| Joyce Woullard | Corporate Director | Sep 26, 1995 | |
| Derrick Autmon | Corporate Director | Jun 23, 2015 |
All facility ownership & control disclosures 37
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hattiesburg Public School and Community Clinic | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1979 |
| Woodley Elementary School | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1979 |
| Hattiesburg High School and Community Clinic | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1979 |
| N. R. Burger School and Community Clinic | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1979 |
| Minor Care Clinic | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1979 |
| Picayune Family Health Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1979 |
| Lumberton Family Health Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1979 |
| Brooklyn Family Health Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1979 |
| New Augusta Family Health Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1979 |
| Women'S Health Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1979 |
| Hattiesburg Family Health Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1979 |
| Seminary Family Health Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1979 |
| Petal Elementary School | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1979 |
| Petal Primary School | Federally qualified health center | Operational/Managerial Control (100%) | May 29, 1979 |
| Petal Upper Elementary School | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1979 |
| Petal Middle School | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1976 |
| Petal High School | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1976 |
| Hattiesburg High School Campus | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1976 |
| Petal School Clinic | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1976 |
| Semrhi Support Service Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1976 |
| Forrest County Agricultural High School | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1976 |
| Baxterville School (K -8) | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1979 |
| Purvis Lower Elementary School | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1979 |
| Oak Grove Longleaf | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Purvis High School | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 14, 2022 |
| Sumrall Elementary School | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Lamar County School Clinic | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Oak Grove Elementary | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Sumrall High School | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Sumrall Middle School | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Purvis Middle School | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Oak Grove High School | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Oak Grove Middle School | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Lumberton Elementary | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Purvis Upper Elementary School | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1979 |
| Lumberton High School | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Bellevue Elementary | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 29, 1979 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770336000000",
"number": "1912958679",
"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": "500 MARTIN LUTHER KING AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394015316",
"telephone_number": "601-545-8700",
"fax_number": "601-582-5461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROWAN ELEMENTARY SCHOOL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.",
"enumeration_date": "2006-05-15",
"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": "CHIEF EXECUTIVE OFFICER",
"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": "004384328",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rowan Elementary School",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rowan Elementary School",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 6, 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.