PINE BELT PRIMARY CARE
NPI 1467767988
General Practice in Laurel, MS

Active since August 09, 2010

NPPES record last updated: August 9, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pine Belt Primary Care NPPES

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

PINE BELT PRIMARY CARE (NPI 1467767988) is a healthcare organization registered as a general practice in Laurel, Mississippi and active in the NPI registry since August 2010. The organization lists Jerry Mayo, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1467767988
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameREGION XII COMMISSION
Location Address934 WEST DRLaurel, MS 39440-4702
Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1902 · Fax (601) 705-1952
Organization SubpartNo
Authorized OfficialJerry MayoExecutive Director · (601) 544-4641
Enumeration DateAugust 9, 2010
NPI 1467767988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

934 WEST DR, Laurel, MS 39440

Other Names 1

Other NamePine Belt Primary Care

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

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
934 WEST DR
LAUREL, MS 39440
Counselor
934 WEST DR
LAUREL, MS 39440
Counselor
934 WEST DR
LAUREL, MS 39440
Licensed Practical Nurse
934 WEST DR
LAUREL, MS 39440
Licensed Practical Nurse
934 WEST DR
LAUREL, MS 39440
Registered Nurse
934 WEST DR
LAUREL, MS 39440
Registered Nurse
934 WEST DR
LAUREL, MS 39440
Registered Nurse
934 WEST DR
LAUREL, MS 39440
Licensed Practical Nurse
934 WEST DR
LAUREL, MS 39440
Registered Nurse
934 WEST DR
LAUREL, MS 39440
Registered Nurse
934 WEST DR
LAUREL, MS 39440
Counselor (Mental Health)
934 WEST DR
LAUREL, MS 39440
Registered Nurse
934 WEST DR
LAUREL, MS 39440
Registered Nurse (Psychiatric/Mental Health)
934 WEST DR
LAUREL, MS 39440
Licensed Practical Nurse
934 WEST DR
LAUREL, MS 39440
Registered Nurse
934 WEST DR
LAUREL, MS 39440
Counselor
934 WEST DR
LAUREL, MS 39440
Counselor (Mental Health)
934 WEST DR
LAUREL, MS 39440
Counselor (Mental Health)
934 WEST DR
LAUREL, MS 39440
Registered Nurse
934 WEST DR
LAUREL, MS 39440

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467767988, enumerated as an "organization" on August 09, 2010.

The provider is located at 934 WEST DR LAUREL, MS 39440 and the phone number is (601) 426-7520.

General Practice with taxonomy code 208D00000X.