PETAL SCHOOL CLINIC
NPI 1952724650
Clinic/Center - Federally Qualified Health Center (FQHC) in Petal, MS

Active since January 31, 2014
36 PANTHER STADIUM DR, PETAL, MS 39465(601) 450-2144(601) 450-2145 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

About Petal School Clinic NPPES

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

PETAL SCHOOL CLINIC (NPI 1952724650) is a healthcare organization registered as a federally qualified health center (fqhc) in Petal, Mississippi and active in the NPI registry since January 2014. The organization lists Janice Robinson, Cheif Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1952724650
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePETAL SCHOOL CLINIC
Location Address36 PANTHER STADIUM DRPetal, MS 39465-3632
Mailing AddressPo Box 1729Hattiesburg, MS 39403-1729 · (601) 545-8700 · Fax (601) 450-2493
Fax(601) 450-2145
Organization SubpartNo
Authorized OfficialJanice RobinsonCheif Executive Officer · (601) 545-8700
Enumeration DateJanuary 31, 2014
Last NPPES UpdateFebruary 6, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1952724650 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
36 PANTHER STADIUM DR, Petal, MS 39465

Other Names 1

Doing Business AsPetal School Clinic

Other Identifiers 1

Medicaid002622599MS

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 School Clinic 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 School Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 32 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
Nurse Practitioner
NPI 1730593989
36 PANTHER STADIUM DR
Petal, MS 39465
(601) 450-2144
✔ PECOSSame address
Nurse Practitioner
NPI 1851161855
36 PANTHER STADIUM DR
Petal, MS 39465
(601) 450-2144
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1881199818
36 STADIUM DRIVE
Petal, MS 39465
(601) 450-2144
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1467185629
404 S MAIN ST
New Augusta, MS 39462
(601) 964-8391
✔ PECOS✔ Accepts Medicare4.2 mi
Optometry
NPI 1669524278
600 W PINE ST
Hattiesburg, MS 39401
(601) 545-2020
✔ PECOS6.3 mi
Pediatric Medicine
NPI 1952630089
180 W S F TATUM BLVD
Hattiesburg, MS 39401
(601) 450-0805
✔ PECOS6.6 mi
Nurse Practitioner
NPI 1770625048
605 STADIUM DR
Hattiesburg, MS 39401
(601) 545-8700
✔ PECOS✔ Accepts Medicare6.8 mi
Clinical Social Worker
NPI 1821834870
301 HUTCHINSON AVE
Hattiesburg, MS 39401
(601) 450-0310
✔ PECOS✔ Accepts Medicare7.1 mi
Nurse Practitioner
NPI 1790379964
301 HUTCHINSON AVE
Hattiesburg, MS 39401
(601) 545-8700
✔ PECOS✔ Accepts Medicare7.1 mi
Nurse Practitioner
NPI 1205305455
62 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 544-4550
✔ PECOS✔ Accepts Medicare7.3 mi
Nurse Practitioner
NPI 1386930477
64 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 909-9390
✔ PECOS7.4 mi
Internal Medicine
NPI 1255392841
66 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 544-7500
✔ PECOS✔ Accepts Medicare7.5 mi
Clinical Social Worker
NPI 1649715004
66 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 582-2619
✔ PECOS7.5 mi
Clinical Social Worker
NPI 1750399531
66 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 544-7500
✔ PECOS✔ Accepts Medicare7.5 mi
Family Practice
NPI 1144626946
66 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 544-7500
✔ PECOS✔ Accepts Medicare7.5 mi
Internal Medicine
NPI 1093796500
66 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 544-7500
✔ PECOS✔ Accepts Medicare7.5 mi
Mental Health Counselor
NPI 1770963134
2117 BROADWAY DR
Hattiesburg, MS 39402
(601) 288-8050
✔ PECOS✔ Accepts Medicare8.5 mi
Infectious Disease
NPI 1700309432
4 MEDICAL BLVD
Hattiesburg, MS 39401
(601) 579-5444
✔ PECOS✔ Accepts Medicare8.5 mi
Infectious Disease
NPI 1851703201
4 MEDICAL BLVD
Hattiesburg, MS 39401
(601) 579-5444
✔ PECOS✔ Accepts Medicare8.5 mi
Infectious Disease
NPI 1235558149
4 MEDICAL BLVD
Hattiesburg, MS 39401
(601) 579-5444
✔ PECOS✔ Accepts Medicare8.5 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 School Clinic's NPI number?

The NPI number for Petal School Clinic is 1952724650. It was assigned to this organization in the NPPES registry on January 31, 2014.

Where is Petal School Clinic located?

Petal School Clinic is located at 36 Panther Stadium Dr, Petal, MS 39465. The listed phone number is (601) 450-2144.

What is Petal School Clinic'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 School Clinic enrolled in Medicare?

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

How many clinicians bill Medicare through Petal School Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 62 clinicians in 10 Medicare specialties reassign their Medicare billing to Petal School Clinic. 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, 1 practice at this address and 32 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Petal School Clinic 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 School Clinic 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 School Clinic was last updated on February 6, 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.