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PACIFIC PHYSICIAN SERVICES LLC
NPI 1902861651
General Practice in Petal, MS

Active since April 18, 2006
425 HIGHWAY 42, PETAL, MS 39465(601) 584-4890 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Physician Services Llc NPPES

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

PACIFIC PHYSICIAN SERVICES LLC (NPI 1902861651) is a healthcare organization registered as a general practice in Petal, Mississippi and active in the NPI registry since April 2006. The organization lists Debbie T Brewer, Director, as its authorized official.

NPPES Registry Identity

NPI1902861651
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePACIFIC PHYSICIAN SERVICES LLC
Location Address425 HIGHWAY 42Petal, MS 39465-2891
Mailing Address4000 Meridian BlvdFranklin, TN 37067-6325 · (615) 465-7626
Phone(601) 584-4890
Organization SubpartNo
Authorized OfficialDebbie T BrewerDirector · (615) 465-7626
Enumeration DateApril 18, 2006
Last NPPES UpdateMarch 27, 2012
✔ NPI 1902861651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
425 HIGHWAY 42, Petal, MS 39465
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Other Identifiers 7

Medicaid05781336MS
Medicaid09016137MS
Medicaid09270509MS
Medicare ID-Type UnspecifiedC02720MS
Medicaid09016153MS
Medicaid01302267MS
Medicaid09016291MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Pacific Physician Services LLC's NPI number?

The NPI number for Pacific Physician Services LLC is 1902861651. It was assigned to this organization in the NPPES registry on April 18, 2006.

Where is Pacific Physician Services LLC located?

Pacific Physician Services LLC is located at 425 Highway 42, Petal, MS 39465. The listed phone number is (601) 584-4890.

What is Pacific Physician Services LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Pacific Physician Services LLC was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.