1. Home
  2. Directory
  3. Mississippi
  4. Meridian
  5. Psychiatric Hospital
  6. NPI Profile

EAST MISSISSIPPI STATE HOSPITAL
NPI 1225342173
Psychiatric Hospital in Meridian, MS

Active since August 03, 2010CLIA 25D2020563 · Waiver
4555 HIGHLAND PARK DRIVE, MERIDIAN, MS 39307(601) 581-7600 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 14, 2020, May 12, 2020 (2 updates tracked since 2020).

About East Mississippi State Hospital NPPES

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

EAST MISSISSIPPI STATE HOSPITAL (NPI 1225342173) is a healthcare organization registered as a psychiatric hospital in Meridian, Mississippi and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through February 22, 2027 and lists Charles A. Carlisle, Facility Director, as its authorized official.

NPPES Registry Identity

NPI1225342173
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameEAST MISSISSIPPI STATE HOSPITAL
Location Address4555 HIGHLAND PARK DRIVEMeridian, MS 39307
Mailing AddressP.o. Box 4128, West StationMeridian, MS 39304-4128 · (601) 581-7600 · Fax (601) 581-7676
Phone(601) 581-7600
Organization SubpartNo
Authorized OfficialCharles A. CarlisleFacility Director · (601) 581-7878
Enumeration DateAugust 3, 2010
Last NPPES UpdateOctober 14, 20202 updates tracked since enumeration
NPPES CertifiedOctober 14, 2020
✔ NPI 1225342173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in MS · 31-136
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
4555 HIGHLAND PARK DRIVE, Meridian, MS 39307
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

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 25D2020563

East Mississippi State Hospital · Meridian, MS
Active · expires Feb 22, 2027
CLIA Number25D2020563
Laboratory TypePsychiatric Hospital
Certificate Effective DateFebruary 23, 2025
Certificate Expiration DateFebruary 22, 2027
Laboratory DirectorMichael Light
Laboratory Phone(601) 581-7878
Laboratory LocationEast Mississippi State Hospital1818 College Drive, Meridian, MS 39307
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

EAST MISSISSIPPI STATE HOSPITAL
Clinic/Center (Multi-Specialty)
4555 HIGHLAND PARK DRIVE
MERIDIAN, MS 39307
Lauderdale County (601) 581-7562

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 East Mississippi State Hospital's NPI number?

The NPI number for East Mississippi State Hospital is 1225342173. It was assigned to this organization in the NPPES registry on August 3, 2010.

Where is East Mississippi State Hospital located?

East Mississippi State Hospital is located at 4555 Highland Park Drive, Meridian, MS 39307. The listed phone number is (601) 581-7600.

What is East Mississippi State Hospital's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Does East Mississippi State Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2020563) is associated with this NPI, valid through February 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Mississippi State Hospital was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.