SOUTHERN PRIMARY CARE PLLC
NPI 1891083135
Family Medicine in Brookhaven, MS
About Southern Primary Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN PRIMARY CARE PLLC (NPI 1891083135) is a healthcare organization registered as a family medicine in Brookhaven, Mississippi and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through July 7, 2027 and lists Robert K Walker, Owner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2061911
Southern Primary Care, PLLC · Brookhaven, MSOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKHAVEN, MS 39601
BROOKHAVEN, MS 39601
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 Primary Care PLLC's NPI number?
The NPI number for Southern Primary Care PLLC is 1891083135. It was assigned to this organization in the NPPES registry on July 20, 2011.
Where is Southern Primary Care PLLC located?
Southern Primary Care PLLC is located at 511 Brookman Dr, Brookhaven, MS 39601. The listed phone number is (601) 833-3800.
What is Southern Primary Care PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Southern Primary Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2061911) is associated with this NPI, valid through July 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southern Primary Care PLLC accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Southern Primary Care 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 Primary Care PLLC was last updated on July 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
