PETAL HIGH SCHOOL
NPI 1003153073
Clinic/Center - Federally Qualified Health Center (FQHC) in Petal, MS

Q: What is Petal High School's NPI number?

The NPI number for Petal High School is 1003153073. It was assigned to this organization in the NPPES registry on January 11, 2013.

Q: What is Petal High School's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Q: When was this NPI record last updated?

The NPPES record for Petal High School was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 11, 2013

1145 HIGHWAY 42, PETAL, MS 39465(601) 545-8700(601) 450-2493 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2026, Sep 6, 2022, Apr 15, 2021 (3 updates tracked since 2021).

On this page

About Petal High School NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETAL HIGH SCHOOL (NPI 1003153073) is a healthcare organization registered as a federally qualified health center (fqhc) in Petal, Mississippi and active in the NPI registry since January 2013. The organization lists Janice Robinson, C E O, as its authorized official.

NPPES Registry Identity

NPI1003153073

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NamePETAL HIGH SCHOOL

Location Address1145 HIGHWAY 42Petal, MS 39465-9740

Mailing AddressPo Box 1729Hattiesburg, MS 39403-1729 · (601) 545-3700 · Fax (601) 450-2493

Phone(601) 545-8700

Fax(601) 450-2493

Organization SubpartYesParent: Southeast Mississippi Rural Health Initiative, Inc.

Authorized OfficialJanice RobinsonC E O · (601) 545-8700

Enumeration DateJanuary 11, 2013

Last NPPES UpdateFebruary 5, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2026

✔ NPI 1003153073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

1145 HIGHWAY 42, Petal, MS 39465

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Other Names 1

Other NamePetal High School

Other Identifiers 1

Medicaid007003741MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PEDRO SAUL MORENO A.T.C.

Specialist

1145 HIGHWAY 42
PETAL, MS 39465

Forrest County (601) 544-0500

JOHN PAUL BUMGARDNER PT

Specialist

1145 HIGHWAY 42
PETAL, MS 39465

Forrest County (601) 544-0500

ANNA CHRISTINE POWELL ATC, LAT, CSCS

Specialist/Technologist (Athletic Trainer)

1145 HIGHWAY 42
PETAL, MS 39465

Forrest County (601) 544-0500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petal High School's NPI number?

The NPI number for Petal High School is 1003153073. It was assigned to this organization in the NPPES registry on January 11, 2013.

Where is Petal High School located?

Petal High School is located at 1145 Highway 42, Petal, MS 39465. The listed phone number is (601) 545-8700.

What is Petal High School's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Petal High School accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Petal High School as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Petal High School was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.