1. Home
  2. Directory
  3. Mississippi
  4. Hattiesburg
  5. Nurse Practitioner
  6. NPI Profile

ST MICHAELS URGENT CARE OF HATTIESBURG
NPI 1124459136
Nurse Practitioner - Family in Hattiesburg, MS

Active since December 02, 2013
3700 HARDY ST, HATTIESBURG, MS 39402(601) 602-2014(601) 602-2015 Get Directions Write a Review

NPPES record last updated: September 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St Michaels Urgent Care Of Hattiesburg NPPES

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

ST MICHAELS URGENT CARE OF HATTIESBURG (NPI 1124459136) is a healthcare organization registered as a family in Hattiesburg, Mississippi and active in the NPI registry since December 2013. The organization lists Marva Joyce Cooley, Credentialling Director, as its authorized official.

NPPES Registry Identity

NPI1124459136
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameST MICHAELS URGENT CARE OF HATTIESBURG
Location Address3700 HARDY STHattiesburg, MS 39402-1610
Mailing Address3700 Hardy StHattiesburg, MS 39402-1610 · (601) 602-2014 · Fax (601) 602-2015
Phone(601) 602-2014
Fax(601) 602-2015
Organization SubpartYesParent: Inland Family Practice Center
Authorized OfficialMarva Joyce CooleyCredentialling Director · (601) 909-2539
Enumeration DateDecember 2, 2013
Last NPPES UpdateSeptember 6, 2016
✔ NPI 1124459136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R875464
Also ListedSpecialistTaxonomy 174400000X
3700 HARDY ST, Hattiesburg, MS 39402
Open in Google Maps ↗

Other Identifiers 3

Medicare NSC6709560001MS
Medicaid00776879MS
Medicare PIN302G702911MS

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

Other Providers at the Same Location NPPES

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

ST MICHAEL URGENT CARE OF HATTIESBURG LLC
Clinic/Center (Urgent Care)
3700 HARDY ST
HATTIESBURG, MS 39402
Lamar County (601) 544-7012

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 St Michaels Urgent Care Of Hattiesburg's NPI number?

The NPI number for St Michaels Urgent Care Of Hattiesburg is 1124459136. It was assigned to this organization in the NPPES registry on December 2, 2013.

Where is St Michaels Urgent Care Of Hattiesburg located?

St Michaels Urgent Care Of Hattiesburg is located at 3700 Hardy St, Hattiesburg, MS 39402. The listed phone number is (601) 602-2014.

What is St Michaels Urgent Care Of Hattiesburg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for St Michaels Urgent Care Of Hattiesburg was last updated on September 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.