PINE BELT PRIMARY CARE
NPI 1467767988
General Practice in Laurel, MS
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
Specialties & Licenses
Other Names 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)
Pine Belt Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
34Medicare enrollment records show 34 clinicians reassign Medicare billing to Pine Belt Primary Care, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 34Source: 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 Region Xii Commission's NPI number?
The NPI number for Region Xii Commission is 1467767988. It was assigned to this organization in the NPPES registry on August 9, 2010. The provider is also known as Pine Belt Primary Care.
Where is Region Xii Commission located?
Region Xii Commission is located at 934 West Dr, Laurel, MS 39440. The listed phone number is (601) 426-7520.
What is Region Xii Commission's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Region Xii Commission enrolled in Medicare?
Yes. Region Xii Commission is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Region Xii Commission?
According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 6 Medicare specialties reassign their Medicare billing to Region Xii Commission. 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 Nurse Practitioner (20), Mental Health Counselor (7) and Psychiatry (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Region Xii Commission was last updated on August 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Pine Belt Primary Care · NPI 1467767988
General Practice organization in Laurel, Mississippi. Organization record, active in the CMS NPPES registry since August 9, 2010.
## Identity
- **NPI:** 1467767988 (Entity type: Organization)
- **Enumerated:** August 9, 2010
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Legal business name:** Region Xii Commission
- **Organization subpart:** No
- **Authorized official:** Jerry Mayo, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 934 WEST DR, Laurel, MS 39440-4702
- **Phone:** (601) 426-7520
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 34 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (20), Mental Health Counselor (7), Psychiatry (3); [full list](https://npiprofile.com/npi/1467767988/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 9, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1467767988) · Data from the CMS NPPES public registry.