WOMENS PAVILION OF SOUTH MISSISSIPPI, PLLC
NPI 1306922653
Obstetrics & Gynecology in Columbia, MS

Active since October 30, 2006
551 EAGLE DAY AVE, COLUMBIA, MS 39429(601) 736-6137(601) 731-1383 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Womens Pavilion Of South Mississippi, Pllc NPPES

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

WOMENS PAVILION OF SOUTH MISSISSIPPI, PLLC (NPI 1306922653) is a healthcare organization registered as an obstetrics & gynecology in Columbia, Mississippi and active in the NPI registry since October 2006. The organization lists Holley Johnson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1306922653
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameWOMENS PAVILION OF SOUTH MISSISSIPPI, PLLC
Location Address551 EAGLE DAY AVEColumbia, MS 39429-3605
Mailing Address6524 U S Highway 98Hattiesburg, MS 39402-8569 · (601) 268-9393 · Fax (601) 268-9559
Fax(601) 731-1383
Organization SubpartNo
Authorized OfficialHolley JohnsonAdministrator · (601) 450-9425
Enumeration DateOctober 30, 2006
Last NPPES UpdateMarch 2, 2021
NPPES CertifiedMarch 2, 2021
NPI 1306922653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
551 EAGLE DAY AVE, Columbia, MS 39429

Other Identifiers 1

Medicaid09014107MS

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Women's Health)
551 EAGLE DAY AVE
COLUMBIA, MS 39429

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 Womens Pavilion Of South Mississippi, PLLC's NPI number?

The NPI number for Womens Pavilion Of South Mississippi, PLLC is 1306922653. It was assigned to this organization in the NPPES registry on October 30, 2006.

Where is Womens Pavilion Of South Mississippi, PLLC located?

Womens Pavilion Of South Mississippi, PLLC is located at 551 Eagle Day Ave, Columbia, MS 39429. The listed phone number is (601) 736-6137.

What is Womens Pavilion Of South Mississippi, PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

What insurance does Womens Pavilion Of South Mississippi, PLLC accept?

Health plans from UnitedHealthcare list Womens Pavilion Of South Mississippi, PLLC 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 Womens Pavilion Of South Mississippi, PLLC was last updated on March 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.