PETAL PRIMARY SCHOOL
NPI 1184961153
Clinic/Center - Federally Qualified Health Center (FQHC) in Petal, MS

Active since January 11, 2013
60 HERRINGTON RD, PETAL, MS 39465(601) 545-8700(601) 450-2493 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 6, 2026, Apr 16, 2021 (2 updates tracked since 2021).

About Petal Primary School NPPES

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

PETAL PRIMARY SCHOOL (NPI 1184961153) 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, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184961153
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePETAL PRIMARY SCHOOL
Location Address60 HERRINGTON RDPetal, MS 39465-8842
Mailing AddressPo Box 1729Hattiesburg, MS 39403-1729 · (601) 545-8700 · Fax (601) 450-2493
Fax(601) 450-2493
Organization SubpartYesParent: Southeast Mississippi Rural Health Initiative, Inc.
Authorized OfficialJanice RobinsonCeo · (601) 545-8700
Enumeration DateJanuary 11, 2013
Last NPPES UpdateFebruary 6, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1184961153 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
60 HERRINGTON RD, Petal, MS 39465

Other Names 1

Other NamePetal Primary School

Other Identifiers 1

Medicaid008686535MS

Accepted Insurance

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 Primary School's NPI number?

The NPI number for Petal Primary School is 1184961153. It was assigned to this organization in the NPPES registry on January 11, 2013.

Where is Petal Primary School located?

Petal Primary School is located at 60 Herrington Rd, Petal, MS 39465. The listed phone number is (601) 545-8700.

What is Petal Primary 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 Primary 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 Primary 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 Primary School was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.