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AT HOME PRIMARY CARE OF MS LLC
NPI 1801515622
Clinic/Center - Primary Care in Hattiesburg, MS

Active since August 24, 2022
295 ARCHIE SMITH RD, HATTIESBURG, MS 39402(601) 207-1009 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About At Home Primary Care Of Ms Llc NPPES

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

AT HOME PRIMARY CARE OF MS LLC (NPI 1801515622) is a healthcare organization registered as a primary care in Hattiesburg, Mississippi and active in the NPI registry since August 2022. The organization lists Lisa Deloris Slade, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1801515622
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAT HOME PRIMARY CARE OF MS LLC
Location Address295 ARCHIE SMITH RDHattiesburg, MS 39402-9322
Mailing Address295 Archie Smith RdHattiesburg, MS 39402-9322 · (601) 207-1009
Phone(601) 207-1009
Organization SubpartNo
Authorized OfficialLisa Deloris SladeNurse Practitioner · (601) 270-1009
Enumeration DateAugust 24, 2022
NPPES CertifiedAugust 24, 2022
✔ NPI 1801515622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
295 ARCHIE SMITH RD, Hattiesburg, MS 39402
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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 At Home Primary Care Of Ms LLC's NPI number?

The NPI number for At Home Primary Care Of Ms LLC is 1801515622. It was assigned to this organization in the NPPES registry on August 24, 2022.

Where is At Home Primary Care Of Ms LLC located?

At Home Primary Care Of Ms LLC is located at 295 Archie Smith Rd, Hattiesburg, MS 39402. The listed phone number is (601) 207-1009.

What is At Home Primary Care Of Ms LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for At Home Primary Care Of Ms LLC was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.