MID-SOUTH DIRECT PRIMARY CARE
NPI 1346036977
Clinic/Center - Primary Care in Petal, MS
About Mid-south Direct Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MID-SOUTH DIRECT PRIMARY CARE (NPI 1346036977) is a healthcare organization registered as a primary care in Petal, Mississippi and active in the NPI registry since April 2025. The organization holds 2 active CLIA laboratory certificates and lists Ashlee Hendry, D.o./administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA 2
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 25D2254328
Mid-South Direct Primary Care · Petal, MSCertificate of Waiver 25D2316874
Mid-South Direct Primary Care · Hattiesburg, MSFrequently 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 Mid-South Direct Primary Care's NPI number?
The NPI number for Mid-South Direct Primary Care is 1346036977. It was assigned to this organization in the NPPES registry on April 18, 2025.
Where is Mid-South Direct Primary Care located?
Mid-South Direct Primary Care is located at 1229 Ms-42 Suite 270, Petal, MS 39465. The listed phone number is (769) 223-9503.
What is Mid-South Direct Primary Care's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Mid-South Direct Primary Care hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Mid-South Direct Primary Care was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mid-South Direct Primary Care · NPI 1346036977
Primary Care organization in Petal, Mississippi. Organization record, active in the CMS NPPES registry since April 18, 2025.
## Identity
- **NPI:** 1346036977 (Entity type: Organization)
- **Enumerated:** April 18, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** Yes (part of Hendry Healthcare Pllc)
- **Authorized official:** Ashlee Hendry, D.O./ADMINISTRATOR
## Practice location
- **Address:** 1229 MS-42 SUITE 270, Petal, MS 39465
- **Phone:** (769) 223-9503 · **Fax:** (601) 336-4925
## Record status
- **NPPES last updated:** April 18, 2025
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1346036977) · Data from the CMS NPPES public registry.