PATRIOT HEALTHCARE OF MISSISSIPPI, LLC
NPI 1104395565
Family Medicine - Geriatric Medicine in Flowood, MS

Q: What is Patriot Healthcare Of Mississippi, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Active since November 15, 2018

4800 LAKELAND DRIVE, FLOWOOD, MS 39232(228) 563-4787 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Patriot Healthcare Of Mississippi, Llc NPPES

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

PATRIOT HEALTHCARE OF MISSISSIPPI, LLC (NPI 1104395565), doing business as Phc Of Ms Jackson, is a healthcare organization registered as a geriatric medicine in Flowood, Mississippi and active in the NPI registry since November 2018. The organization lists David A. Culver, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104395565

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NamePATRIOT HEALTHCARE OF MISSISSIPPI, LLC

Location Address4800 LAKELAND DRIVEFlowood, MS 39232

Mailing Address100 Arricola AvenueSt. Augustine, FL 32080 · (904) 825-4368

Phone(228) 563-4787

Organization SubpartNo

Authorized OfficialDavid A. CulverAdministrator · (904) 825-4368

Enumeration DateNovember 15, 2018

✔ NPI 1104395565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

4800 LAKELAND DRIVE, Flowood, MS 39232

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Other Names 1

Doing Business AsPhc Of Ms Jackson

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Patriot Healthcare Of Mississippi, LLC's NPI number?

The NPI number for Patriot Healthcare Of Mississippi, LLC is 1104395565. It was assigned to this organization in the NPPES registry on November 15, 2018. The provider is doing business as PHC of MS Jackson.

Where is Patriot Healthcare Of Mississippi, LLC located?

Patriot Healthcare Of Mississippi, LLC is located at 4800 Lakeland Drive, Flowood, MS 39232. The listed phone number is (228) 563-4787.

What is Patriot Healthcare Of Mississippi, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Patriot Healthcare Of Mississippi, LLC was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.