Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
NPI 1003153073
Clinic/Center - Federally Qualified Health Center (FQHC) in Petal, MS

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: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2026, Feb 5, 2026, Sep 6, 2022 and 1 more (4 updates tracked since 2021).

About Southeast Mississippi Rural Health Initiative, Inc. NPPES

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

SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. (NPI 1003153073), doing business as Petal High School, 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 NameSOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Location Address1145 HIGHWAY 42Petal, MS 39465-9740
Mailing AddressPo Box 1729Hattiesburg, MS 39403-1729 · (601) 545-8700 · Fax (601) 450-2493
Fax(601) 450-2493
Organization SubpartYes
Authorized OfficialJanice RobinsonC E O · (601) 545-8700
Enumeration DateJanuary 11, 2013
Last NPPES UpdateOctober 16, 20264 updates tracked since enumeration
NPPES CertifiedOctober 16, 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

Other Names 1

Doing Business AsPetal High School

Other Identifiers 1

Medicaid007003741MS

Accepted 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.

Specialist
1145 HIGHWAY 42
PETAL, MS 39465
Specialist
1145 HIGHWAY 42
PETAL, MS 39465
Specialist/Technologist (Athletic Trainer)
1145 HIGHWAY 42
PETAL, MS 39465

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 Southeast Mississippi Rural Health Initiative, Inc.'s NPI number?

The NPI number for Southeast Mississippi Rural Health Initiative, Inc. is 1003153073. It was assigned to this organization in the NPPES registry on January 11, 2013. The provider is doing business as Petal High School.

Where is Southeast Mississippi Rural Health Initiative, Inc. located?

Southeast Mississippi Rural Health Initiative, Inc. is located at 1145 Highway 42, Petal, MS 39465. The listed phone number is (601) 545-8700.

What is Southeast Mississippi Rural Health Initiative, Inc.'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 Southeast Mississippi Rural Health Initiative, Inc. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Southeast Mississippi Rural Health Initiative, Inc. 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 Southeast Mississippi Rural Health Initiative, Inc. was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.