PETAL PRIMARY SCHOOL
NPI 1184961153
Clinic/Center - Federally Qualified Health Center (FQHC) in Petal, MS
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted 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)
Petal Primary School is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
62Medicare enrollment records show 62 clinicians reassign Medicare billing to Petal Primary School, which bills Medicare for the services they deliver. Of these, 33 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 62Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Petal Primary School enrolled in Medicare?
Yes. Petal Primary School is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Petal Primary School?
According to the CMS Revalidation Reassignment List (October 2026 release), 62 clinicians in 10 Medicare specialties reassign their Medicare billing to Petal Primary School. 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 (39), Family Practice (8) and Clinical Social Worker (4). Of these, 33 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Petal Primary School 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 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 9 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.
# Petal Primary School · NPI 1184961153
Federally Qualified Health Center (FQHC) organization in Petal, Mississippi. Organization record, active in the CMS NPPES registry since January 11, 2013.
## Identity
- **NPI:** 1184961153 (Entity type: Organization)
- **Enumerated:** January 11, 2013
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Petal Primary School (Other Name)
- **Organization subpart:** Yes (part of Southeast Mississippi Rural Health Initiative, Inc.)
- **Authorized official:** Janice Robinson, CEO
## Practice location
- **Address:** 60 HERRINGTON RD, Petal, MS 39465-8842
- **Phone:** (601) 545-8700 · **Fax:** (601) 450-2493
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 62 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (39), Family Practice (8), Clinical Social Worker (4); 33 practice within 10 miles; [full list](https://npiprofile.com/npi/1184961153/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2026
- **Other identifiers:** Medicaid 008686535 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1184961153) · Data from the CMS NPPES public registry.