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PHYSICIAN GROUP
NPI 1558679902
Clinic/Center - Multi-Specialty in Meridian, MS

Active since September 20, 2010
4555 HIGHLAND PARK DR, MERIDIAN, MS 39307(601) 581-7969(601) 581-7676 Get Directions Write a Review

NPPES record last updated: May 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2020, Dec 28, 2016 (2 updates tracked since 2016).

About Physician Group NPPES

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

PHYSICIAN GROUP (NPI 1558679902) is a healthcare organization registered as a multi-specialty in Meridian, Mississippi and active in the NPI registry since September 2010. The organization lists Charles Carlisle, Hospital Director, as its authorized official.

NPPES Registry Identity

NPI1558679902
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePHYSICIAN GROUP
Location Address4555 HIGHLAND PARK DRMeridian, MS 39307-5429
Mailing AddressPo Box 4128Meridian, MS 39304-4128 · (601) 581-7969 · Fax (601) 581-7676
Phone(601) 581-7969
Fax(601) 581-7676
Organization SubpartYesParent: East Mississippi State Hospital
Authorized OfficialCharles CarlisleHospital Director · (601) 581-7877
Enumeration DateSeptember 20, 2010
Last NPPES UpdateMay 12, 20202 updates tracked since enumeration
NPPES CertifiedMay 12, 2020
✔ NPI 1558679902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in MS · 36-136
4555 HIGHLAND PARK DR, Meridian, MS 39307
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAGNOLIA CLINIC
Clinic/Center
4555 HIGHLAND PARK DR
MERIDIAN, MS 39307
Lauderdale County (601) 481-1135
DR. KIM ELLIOT NAGEL MD
Psychiatry & Neurology (Psychiatry)
4555 HIGHLAND PARK DR
MERIDIAN, MS 39307
Lauderdale County (601) 581-7687
ANGELA MARSHON MARS LPC
Counselor (Professional)
4555 HIGHLAND PARK DR
MERIDIAN, MS 39307
Lauderdale County (601) 581-7550
DONALD MCKAY RPH
Pharmacist
4555 HIGHLAND PARK DR
MERIDIAN, MS 39307
Lauderdale County (601) 581-7826
VICKIE L WARREN NP
Nurse Practitioner (Adult Health)
4555 HIGHLAND PARK DR
MERIDIAN, MS 39307
Lauderdale County (601) 581-7600
EAST MISSISSIPPI STATE HOSPITAL
Nursing Facility/Intermediate Care Facility
4555 HIGHLAND PARK DR
MERIDIAN, MS 39307
Lauderdale County (601) 581-7600
MS. STELLA ELIZABETH GERVIN-WARD LCSW
Social Worker (Clinical)
4555 HIGHLAND PARK DR
MERIDIAN, MS 39307
Lauderdale County (601) 581-7775
RAMIRO J MARTINEZ
Family Medicine
4555 HIGHLAND PARK DR
MERIDIAN, MS 39307
Lauderdale County (601) 482-6186

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 Physician Group's NPI number?

The NPI number for Physician Group is 1558679902. It was assigned to this organization in the NPPES registry on September 20, 2010.

Where is Physician Group located?

Physician Group is located at 4555 Highland Park Dr, Meridian, MS 39307. The listed phone number is (601) 581-7969.

What is Physician Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Physician Group was last updated on May 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.