NPIMap

Organization Active NPI

Purvis Lower Elementary School

  • Federally Qualified Health Center (FQHC)
  • Purvis, MS
National Provider Identifier
1972177152
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PURVIS LOWER ELEMENTARY SCHOOL
Doing business as
Purvis Lower Elementary School
Practice address
5976 US Highway 11
Purvis, MS 39475-5066
Phone
(601) 794-3302
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

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

5976 US Highway 11
Purvis, MS 39475-5066

Mailing address

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

Other names 1

  • Purvis Lower Elementary School Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220908000747 MS Part A Provider - Federally Qualified Health Center (FQHC) 2466342605 Practice locations: Purvis, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972177152. Details of each certification follow.

Federally qualified health center certification: CCN 251132

Legal name
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Doing business as
PURVIS LOWER ELEMENTARY SCHOOL
Organization structure
CorporationNon-profit
Incorporated
May 29, 1979 in MS
Enrollment address
5976 US Highway 11
Purvis, MS 39475-5066

National Provider Directory

National Provider Directory
Tax ID family
N R Burger School and Community Clinic59 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

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

Ownership & related parties

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.

NameRoleSinceShare
Larry Davis Individual Corporate DirectorBoard Member Mar 23, 2021
Karen Speed Individual Corporate DirectorBoard Member - President Jun 29, 2004
Nanni Freeman Individual Corporate DirectorBoard Member 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%
Kermit Rayborn Individual Corporate DirectorBoard Member Oct 22, 1996
Maxine Bolton Individual Corporate DirectorBoard Member - Secretary 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%
Billy Folkes Individual Corporate DirectorBoard Member Feb 20, 2007
Virginia Burks Individual Corporate DirectorBoard Member Jan 1, 1995
Joyce Woullard Individual Corporate DirectorBoard Member - Treasurer Sep 26, 1996
Derrick Autmon Individual Corporate DirectorBoard Member - Vice President Jun 23, 2015

All facility ownership & control disclosures 36

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
New Augusta Family Health CenterNew Augusta, MS, CCN 251816 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
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

Facilities with the same owner 36

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

View all 36

NPI Registry JSON

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": "1972177152",
    "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": "5976 US HIGHWAY 11",
            "city": "PURVIS",
            "state": "MS",
            "postal_code": "394755066",
            "telephone_number": "601-794-3302",
            "fax_number": "601-796-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURVIS LOWER 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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purvis Lower Elementary School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Purvis Lower Elementary School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Purvis, MS

Sources for this page

Verify at the official NPI Registry.