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ELLISVILLE STATE SCHOOL
NPI 1568468080
Clinic/Center in Ellisville, MS

Active since June 21, 2005
1101 HWY 11 S, ELLISVILLE, MS 39437(601) 477-9384(601) 477-5700 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ellisville State School NPPES

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

ELLISVILLE STATE SCHOOL (NPI 1568468080) is a healthcare organization registered as a clinic/center in Ellisville, Mississippi and active in the NPI registry since June 2005. The organization lists Suzie Lassiter, Director, as its authorized official.

NPPES Registry Identity

NPI1568468080
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameELLISVILLE STATE SCHOOL
Location Address1101 HWY 11 SEllisville, MS 39437-4444
Mailing Address1101 Hwy 11 SEllisville, MS 39437-4444 · (601) 477-9384 · Fax (601) 477-5700
Phone(601) 477-9384
Fax(601) 477-5700
Organization SubpartNo
Authorized OfficialSuzie LassiterDirector · (601) 477-9384
Enumeration DateJune 21, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1568468080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MS · C00638
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1101 HWY 11 S, Ellisville, MS 39437
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Other Providers at the Same Location NPPES 3

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

ELLISVILLE STATE SCHOOL
Intermediate Care Facility, Intellectual Disabilities
1101 HWY 11 S
ELLISVILLE, MS 39437
Jones County (601) 477-5770
MRS. STEPHANIE D. SMITH CFNP
Nurse Practitioner (Family)
1101 HWY 11 S
ELLISVILLE, MS 39437
Jones County (601) 477-5770
ELLISVILLE STATE SCHOOL
Intermediate Care Facility, Intellectual Disabilities
1101 HWY 11 S
ELLISVILLE, MS 39437
Jones County (601) 477-5607

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 Ellisville State School's NPI number?

The NPI number for Ellisville State School is 1568468080. It was assigned to this organization in the NPPES registry on June 21, 2005.

Where is Ellisville State School located?

Ellisville State School is located at 1101 Hwy 11 S, Ellisville, MS 39437. The listed phone number is (601) 477-9384.

What is Ellisville State School's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Ellisville State School was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.