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PATHWAY HEALTHCARE- MISSISSIPPI LLC
NPI 1013425503
Family Medicine - Addiction Medicine in Laurel, MS

Active since January 18, 2018CLIA Certified · 5 labs
5 DUNNBARR STE 1, LAUREL, MS 39440(662) 434-4210(205) 848-2227 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 30, 2026, Feb 23, 2023, Jul 19, 2022 and 2 more (5 updates tracked since 2018).

About Pathway Healthcare- Mississippi Llc NPPES

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

PATHWAY HEALTHCARE- MISSISSIPPI LLC (NPI 1013425503) is a healthcare organization registered as an addiction medicine in Laurel, Mississippi and active in the NPI registry since January 2018. The organization holds 5 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Kristina Moore, Data And Integration, as its authorized official.

NPPES Registry Identity

NPI1013425503
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NamePATHWAY HEALTHCARE- MISSISSIPPI LLC
Location Address5 DUNNBARR STE 1Laurel, MS 39440-1041
Mailing Address48 Medical Park Dr E Ste 453Birmingham, AL 35235-3472 · (205) 208-9312 · Fax (205) 848-2227
Phone(662) 434-4210
Fax(205) 848-2227
Organization SubpartNo
Authorized OfficialKristina MooreData And Integration · (205) 208-9312
Enumeration DateJanuary 18, 2018
Last NPPES UpdateJune 23, 20265 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1013425503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
5 DUNNBARR STE 1, Laurel, MS 39440
Open in Google Maps ↗

Other Names 1

Other NamePathway Healthcare Laurel Ms

Secondary Practice Locations 2

Location 12655 Lakeland DrFlowood, MS 39232-9516 · Phone (601) 957-7343 · Fax (601) 957-7344
Location 2605 2nd Ave NColumbus, MS 39701-4513 · Phone (662) 434-4210 · Fax (662) 657-1044

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pathway Healthcare- Mississippi Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Pathway Healthcare- Mississippi LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner5
Family Practice2
Psychiatry2
Addiction Medicine1

Clinicians, nearest first (10)

Stuart Milan, PMHNP
Nurse Practitioner
NPI 1689766958
2655 LAKELAND DR
Flowood, MS 39232
(601) 957-7343
✔ PECOS✔ Accepts Medicare97 mi
Chelsea Brooks, APRN, PMHNP-BC
Nurse Practitioner
NPI 1770367716
2655 LAKELAND DR
Flowood, MS 39232
(601) 957-7343
✔ PECOS✔ Accepts Medicare97 mi
Deborah Gross, MD
Psychiatry
NPI 1982717997
1200 N STATE ST STE 450
Jackson, MS 39202
(601) 957-7343
✔ PECOS✔ Accepts Medicare100 mi
Cheryl Cooper, PMHNP
Nurse Practitioner
NPI 1174302830
605 2ND AVE N
Columbus, MS 39701
(661) 434-4210
✔ PECOS✔ Accepts Medicare125 mi
April Corcoran
Nurse Practitioner
NPI 1861009714
605 2ND AVE N
Columbus, MS 39701
(662) 434-4210
✔ PECOS✔ Accepts Medicare125 mi
Duke Wood, DO
Family Practice
NPI 1285785931
605 2ND AVE N
Columbus, MS 39701
(662) 434-4210
✔ PECOS✔ Accepts Medicare125 mi
Sarah Gantz Pannel, D.O
Psychiatry
NPI 1013110857
960 AVENT DR UMC GRENADA SENIOR CARE UNIT
Grenada, MS 38901
(662) 227-7222
✔ PECOS158 mi
Stephen Taylor, M.D.
Addiction Medicine
NPI 1447354907
1025 MONTGOMERY HWY SUITE 200
Birmingham, AL 35216
(205) 978-7511
✔ PECOS✔ Accepts Medicare162 mi
Jennifer Floyd
Nurse Practitioner
NPI 1508553512
3747 HIGHWAY 51 S
Senatobia, MS 38668
(662) 612-4549
✔ PECOS✔ Accepts Medicare216 mi
Billy Davis, DO
Family Practice
NPI 1225484561
2010 SOUTHPOINT, FORREST PARK CIR NW SUITE 200
Huntsville, AL 35801
(256) 880-5818
✔ PECOS✔ Accepts Medicare238 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2142690

Pathway Healthcare · Flowood, MS
Active · expires Jan 17, 2028
CLIA Number25D2142690
Laboratory TypePhysician Office
Certificate Effective DateJanuary 18, 2026
Certificate Expiration DateJanuary 17, 2028
Laboratory DirectorNatalie Matthews
Laboratory Phone(601) 957-7343
Laboratory LocationPathway Healthcare2655 Lakeland Drive, Flowood, MS 39232
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2147380

Pathway Healthcare - Mississippi LLC · Columbus, MS
Active · expires Jan 4, 2028
CLIA Number25D2147380
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorNatalie Matthews
Laboratory Phone(662) 434-4210
Laboratory LocationPathway Healthcare - Mississippi LLC605 2nd Ave N Ste B, Columbus, MS 39701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D2147411

Pathway Healthcare · Birmingham, AL
Active · expires Apr 17, 2028
CLIA Number01D2147411
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorMs. Natalie Matthews
Laboratory Phone(205) 208-9312
Laboratory LocationPathway Healthcare48 Medical Park Dr E Suite453, Birmingham, AL 35235
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D1087944

Pathway Healthcare · Huntsville, AL
Active · expires Oct 13, 2027
CLIA Number01D1087944
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorNatalie Matthews
Laboratory Phone(205) 208-9312
Laboratory LocationPathway Healthcare2010 South Point Park Cr Ste 200, Huntsville, AL 35801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2275215

Pathway Healthcare · Laurel, MS
Active · expires Jan 17, 2027
CLIA Number25D2275215
Laboratory TypePhysician Office
Certificate Effective DateJanuary 18, 2025
Certificate Expiration DateJanuary 17, 2027
Laboratory DirectorNatalie Matthews
Laboratory Phone(601) 651-3015
Laboratory LocationPathway Healthcare5 Dunbar St Ste 1 & 2, Laurel, MS 39440
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Pathway Healthcare- Mississippi LLC's NPI number?

The NPI number for Pathway Healthcare- Mississippi LLC is 1013425503. It was assigned to this organization in the NPPES registry on January 18, 2018. The provider is also known as Pathway Healthcare Laurel MS.

Where is Pathway Healthcare- Mississippi LLC located?

Pathway Healthcare- Mississippi LLC is located at 5 Dunnbarr Ste 1, Laurel, MS 39440. The listed phone number is (662) 434-4210.

What is Pathway Healthcare- Mississippi LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Pathway Healthcare- Mississippi LLC enrolled in Medicare?

Yes. Pathway Healthcare- Mississippi LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pathway Healthcare- Mississippi LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Pathway Healthcare- Mississippi LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Family Practice (2) and Psychiatry (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pathway Healthcare- Mississippi LLC hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Pathway Healthcare- Mississippi LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Pathway Healthcare- Mississippi LLC 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 Pathway Healthcare- Mississippi LLC was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.