COPAC INCORPORATED
NPI 1922127331
Substance Abuse Rehabilitation Facility in Flowood, MS

Active since March 28, 2007
4309 LAKELAND DR, FLOWOOD, MS 39232(601) 829-2500(601) 932-3857 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Substance Abuse Rehabilitation Facility

About COPAC INCORPORATED

This page provides the complete NPI Profile along with additional information for Copac Incorporated, a provider established in Flowood, Mississippi operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1922127331 assigned on March 2007. The practitioner's primary taxonomy code is 324500000X with license number FS39-DADA-OP-01 (MS). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Jerald Stacy Hughes, Jr. Phd, Lpc (Ceo)

NPI
1922127331 Verify this NPI
Provider Name
COPAC INCORPORATED
Entity Type
Organization
Location Address
4309 LAKELAND DR FLOWOOD, MS 39232
Location Phone
(601) 829-2500
Location Fax
(601) 932-3857
Mailing Address
4309 LAKELAND DR FLOWOOD, MS 39232
Mailing Phone
(601) 829-2500
Mailing Fax
(601) 932-3857
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-28-2007
Last Update Date
10-30-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
FS39-DADA-OP-01
License State
MS
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JERALD STACY HUGHES, JR. PHD, LPC

Authorized Official Title
CEO
Authorized Official Phone
(601) 829-2500

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1316016066OTHER (01)MSPHYSICIAN
G34365MEDICARE UPIN (02)MS 
1730289802OTHER (01)MSPHYSICIAN
1801997127OTHER (01)MSPHYSICIAN
0119422MEDICAID (05)MS 
1235270885OTHER (01)MSCOPAC INCORPORATED
1073679817OTHER (01)MSNURSE PRACTITIONER
1100010449MEDICARE ID-TYPE UNSPECIFIED (04)MS 

Reviews for COPAC INCORPORATED

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922127331, enumerated as an "organization" on March 28, 2007.

The provider is located at 4309 LAKELAND DR FLOWOOD, MS 39232 and the phone number is (601) 829-2500.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.