WOMENS PAVILION OF SOUTH MISSISSIPPI, PLLC
NPI 1306922653
Obstetrics & Gynecology in Columbia, MS
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Womens Pavilion Of South Mississippi, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Womens Pavilion Of South Mississippi, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (14)
Source: 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 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.
Is Womens Pavilion Of South Mississippi, PLLC enrolled in Medicare?
Yes. Womens Pavilion Of South Mississippi, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Womens Pavilion Of South Mississippi, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 2 Medicare specialties reassign their Medicare billing to Womens Pavilion Of South Mississippi, PLLC. 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 Obstetrics/Gynecology (10) and Nurse Practitioner (4). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 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.
# Womens Pavilion Of South Mississippi, Pllc · NPI 1306922653
Obstetrics & Gynecology organization in Columbia, Mississippi. Organization record, active in the CMS NPPES registry since October 30, 2006.
## Identity
- **NPI:** 1306922653 (Entity type: Organization)
- **Enumerated:** October 30, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Holley Johnson, ADMINISTRATOR
## Practice location
- **Address:** 551 EAGLE DAY AVE, Columbia, MS 39429-3605
- **Phone:** (601) 736-6137 · **Fax:** (601) 731-1383
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (10), Nurse Practitioner (4); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2021
- **Other identifiers:** Medicaid 09014107 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1306922653) · Data from the CMS NPPES public registry.