PETAL MIDDLE SCHOOL
NPI 1720327919
Clinic/Center - Federally Qualified Health Center (FQHC) in Petal, MS

Active since February 07, 2013
203 HIGHWAY 42, PETAL, MS 39465(601) 584-6301(601) 450-2493 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2026, Sep 6, 2022, Apr 16, 2021 (3 updates tracked since 2021).

About Petal Middle School NPPES

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

PETAL MIDDLE SCHOOL (NPI 1720327919) is a healthcare organization registered as a federally qualified health center (fqhc) in Petal, Mississippi and active in the NPI registry since February 2013. The organization lists Janice Robinson, Chief Executive Officeer, as its authorized official.

NPPES Registry Identity

NPI1720327919
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePETAL MIDDLE SCHOOL
Location Address203 HIGHWAY 42Petal, MS 39465-2864
Mailing AddressPo Box 1729Hattiesburg, MS 39403-1729 · (601) 545-8700 · Fax (601) 450-2493
Fax(601) 450-2493
Organization SubpartNo
Authorized OfficialJanice RobinsonChief Executive Officeer · (601) 545-8700
Enumeration DateFebruary 7, 2013
Last NPPES UpdateFebruary 5, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1720327919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
203 HIGHWAY 42, Petal, MS 39465

Other Names 1

Other NamePetal Middle School

Other Identifiers 1

Medicaid007528765MS

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)

Petal Middle School is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

62

Medicare enrollment records show 62 clinicians reassign Medicare billing to Petal Middle School, which bills Medicare for the services they deliver. Of these, 33 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner39
Family Practice8
Clinical Social Worker4
Infectious Disease3
Internal Medicine2
Obstetrics/Gynecology2
Emergency Medicine1
Mental Health Counselor1
2 other specialties2

Nearest to this location (20)

See all 62
Family Practice
NPI 1467185629
404 S MAIN ST
New Augusta, MS 39462
(601) 964-8391
✔ PECOS✔ Accepts Medicare0.5 mi
Optometry
NPI 1669524278
600 W PINE ST
Hattiesburg, MS 39401
(601) 545-2020
✔ PECOS2.7 mi
Nurse Practitioner
NPI 1881199818
36 STADIUM DRIVE
Petal, MS 39465
(601) 450-2144
✔ PECOS✔ Accepts Medicare3.0 mi
Nurse Practitioner
NPI 1770625048
605 STADIUM DR
Hattiesburg, MS 39401
(601) 545-8700
✔ PECOS✔ Accepts Medicare3.0 mi
Clinical Social Worker
NPI 1821834870
301 HUTCHINSON AVE
Hattiesburg, MS 39401
(601) 450-0310
✔ PECOS✔ Accepts Medicare3.3 mi
Nurse Practitioner
NPI 1790379964
301 HUTCHINSON AVE
Hattiesburg, MS 39401
(601) 545-8700
✔ PECOS✔ Accepts Medicare3.3 mi
Nurse Practitioner
NPI 1851161855
36 PANTHER STADIUM DR
Petal, MS 39465
(601) 450-2144
✔ PECOS3.7 mi
Nurse Practitioner
NPI 1730593989
36 PANTHER STADIUM DR
Petal, MS 39465
(601) 450-2144
✔ PECOS3.8 mi
Nurse Practitioner
NPI 1023319936
404 LILLIE BURNEY ST
Hattiesburg, MS 39401
(601) 450-6500
✔ PECOS✔ Accepts Medicare4.1 mi
Nurse Practitioner
NPI 1891260808
180 WSF TATUM DR
Hattiesburg, MS 39401
(601) 450-0805
✔ PECOS✔ Accepts Medicare4.6 mi
Nurse Practitioner
NPI 1487631461
118 COLLEGE DR
Hattiesburg, MS 39406
(601) 266-6087
✔ PECOS✔ Accepts Medicare4.6 mi
Nurse Practitioner
NPI 1821650045
6051 U S HIGHWAY 49
Hattiesburg, MS 39401
(601) 450-0310
✔ PECOS✔ Accepts Medicare4.7 mi
Pediatric Medicine
NPI 1952630089
180 W S F TATUM BLVD
Hattiesburg, MS 39401
(601) 450-0805
✔ PECOS4.7 mi
Infectious Disease
NPI 1700309432
4 MEDICAL BLVD
Hattiesburg, MS 39401
(601) 579-5444
✔ PECOS✔ Accepts Medicare4.8 mi
Infectious Disease
NPI 1851703201
4 MEDICAL BLVD
Hattiesburg, MS 39401
(601) 579-5444
✔ PECOS✔ Accepts Medicare4.8 mi
Infectious Disease
NPI 1235558149
4 MEDICAL BLVD
Hattiesburg, MS 39401
(601) 579-5444
✔ PECOS✔ Accepts Medicare4.8 mi
Nurse Practitioner
NPI 1083246474
102 MEDICAL PARK
Hattiesburg, MS 39401
(601) 261-5159
✔ PECOS✔ Accepts Medicare4.9 mi
Nurse Practitioner
NPI 1205305455
62 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 544-4550
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1386930477
64 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 909-9390
✔ PECOS5.0 mi
Nurse Practitioner
NPI 1811511819
64 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 909-9390
✔ PECOS✔ Accepts Medicare5.0 mi
See all 62 clinicians

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 Petal Middle School's NPI number?

The NPI number for Petal Middle School is 1720327919. It was assigned to this organization in the NPPES registry on February 7, 2013.

Where is Petal Middle School located?

Petal Middle School is located at 203 Highway 42, Petal, MS 39465. The listed phone number is (601) 584-6301.

What is Petal Middle School's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Petal Middle School enrolled in Medicare?

Yes. Petal Middle School is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Petal Middle School?

According to the CMS Revalidation Reassignment List (October 2026 release), 62 clinicians in 10 Medicare specialties reassign their Medicare billing to Petal Middle School. 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 (39), Family Practice (8) and Clinical Social Worker (4). Of these, 33 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Petal Middle School accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Petal Middle School 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 Petal Middle School was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.