WOMEN'S PAVILION OF SOUTH MISSISSIPPI
NPI 1548640642
Clinic/Center - Rural Health in Hattiesburg, MS
About Women's Pavilion Of South Mississippi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WOMEN'S PAVILION OF SOUTH MISSISSIPPI (NPI 1548640642) is a healthcare organization registered as a rural health in Hattiesburg, Mississippi and active in the NPI registry since June 2015. The organization lists Holley Johnson, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Women's Pavilion Of South Mississippi 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 Women's Pavilion Of South Mississippi, which bills Medicare for the services they deliver. Of these, 9 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 Southern Women's Health, PLLC's NPI number?
The NPI number for Southern Women's Health, PLLC is 1548640642. It was assigned to this organization in the NPPES registry on June 3, 2015. The provider is doing business as Women's Pavilion Of South Mississippi.
Where is Southern Women's Health, PLLC located?
Southern Women's Health, PLLC is located at 5003 Hardy St Suite 350, Hattiesburg, MS 39402. The listed phone number is (601) 450-9425.
What is Southern Women's Health, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Southern Women's Health, PLLC enrolled in Medicare?
Yes. Southern Women's Health, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Women's Health, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 2 Medicare specialties reassign their Medicare billing to Southern Women's Health, 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, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southern Women's Health, PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Southern Women's Health, 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 Southern Women's Health, PLLC was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Women's Pavilion Of South Mississippi · NPI 1548640642
Rural Health organization in Hattiesburg, Mississippi. Organization record, active in the CMS NPPES registry since June 3, 2015.
## Identity
- **NPI:** 1548640642 (Entity type: Organization)
- **Enumerated:** June 3, 2015
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Southern Women's Health, Pllc
- **Organization subpart:** No
- **Authorized official:** Holley Johnson, ADMINISTRATOR
## Practice location
- **Address:** 5003 HARDY ST, SUITE 350, Hattiesburg, MS 39402-1319
- **Phone:** (601) 450-9425
## 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); 9 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 27, 2023
- **Other identifiers:** Medicaid 05439065 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1548640642) · Data from the CMS NPPES public registry.