AA PRIMARY CARE SERVICES, LLC
NPI 1962762401
Nurse Practitioner - Family in Hattiesburg, MS

Q: What is Aa Primary Care Services, LLC's NPI number?

The NPI number for Aa Primary Care Services, LLC is 1962762401. It was assigned to this organization in the NPPES registry on May 17, 2012.

Q: What is Aa Primary Care Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since May 17, 2012

134 JERVIS MIMS RD, HATTIESBURG, MS 39401(601) 255-5705 Get Directions Write a Review

NPPES record last updated: September 8, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Aa Primary Care Services, Llc NPPES

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

AA PRIMARY CARE SERVICES, LLC (NPI 1962762401) is a healthcare organization registered as a family in Hattiesburg, Mississippi and active in the NPI registry since May 2012. The organization lists Lisa Parker, Owner, as its authorized official.

NPPES Registry Identity

NPI1962762401

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameAA PRIMARY CARE SERVICES, LLC

Location Address134 JERVIS MIMS RDHattiesburg, MS 39401-8864

Mailing Address134 Jervis Mims RdHattiesburg, MS 39401-8864

Phone(601) 255-5705

Organization SubpartNo

Authorized OfficialLisa ParkerOwner · (601) 554-6959

Enumeration DateMay 17, 2012

Last NPPES UpdateSeptember 8, 2015

✔ NPI 1962762401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · R852821

134 JERVIS MIMS RD, Hattiesburg, MS 39401

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Other Identifiers 3

Medicare PIN302I509522

Other12027545Caqh

Medicaid08657850MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Aa Primary Care Services, LLC's NPI number?

The NPI number for Aa Primary Care Services, LLC is 1962762401. It was assigned to this organization in the NPPES registry on May 17, 2012.

Where is Aa Primary Care Services, LLC located?

Aa Primary Care Services, LLC is located at 134 Jervis Mims Rd, Hattiesburg, MS 39401. The listed phone number is (601) 255-5705.

What is Aa Primary Care Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Aa Primary Care Services, LLC was last updated on September 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.