SOUTHERN WOMEN'S HEALTH PLLC NPI 1548640642

NPI Information

NPI: 1548640642
Provider Name: SOUTHERN WOMEN'S HEALTH, PLLC
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Doing Business As: WOMEN'S PAVILION OF SOUTH MISSISSIPPI
Address: 5003 HARDY ST
SUITE 350
HATTIESBURG, MS
ZIP 39402
Phone: (601) 450-9425

Map and Directions

Get Directions

NPI Details

SOUTHERN WOMEN'S HEALTH, PLLC is a rural health clinic center in Hattiesburg, MS. SOUTHERN WOMEN'S HEALTH, PLLC NPI is 1548640642. The provider is registered as an organization entity type.
The provider Is Doing Business As Women's Pavilion Of South Mississippi.

The provider's business location address is:

5003 HARDY ST
SUITE 350
HATTIESBURG, MS
ZIP 39402-319
Phone: (601) 450-9425

The provider's authorized official is Holley Johnson .
The authorized official title is Administrator and has the following contact phone number (601) 450-9425.

The enumeration date for this NPI number is 6/3/2015 and was last updated on 12/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05439065	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI