REGINALD P WHITE NURSING FACILITY
NPI 1972689313
Clinic/Center - Multi-Specialty in Meridian, MS

Q: What is East Mississippi State Hospital's NPI number?

The NPI number for East Mississippi State Hospital is 1972689313. It was assigned to this organization in the NPPES registry on October 27, 2006. The provider is also known as Reginald P White Nursing Facility.

Q: What is East Mississippi State Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since October 27, 2006CLIA 25D0689318 · Waiver

4555 HIGHLAND PARK DRIVE, MERIDIAN, MS 39307(601) 581-7562(601) 581-7676 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2020, Jun 4, 2020, May 12, 2020 (3 updates tracked since 2020).

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About Reginald P White Nursing Facility NPPES

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

REGINALD P WHITE NURSING FACILITY (NPI 1972689313) is a healthcare organization registered as a multi-specialty in Meridian, Mississippi and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists William Hamrick Entrekin, Business Services Director, as its authorized official.

NPPES Registry Identity

NPI1972689313

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameEAST MISSISSIPPI STATE HOSPITAL

Location Address4555 HIGHLAND PARK DRIVEMeridian, MS 39307-2903

Mailing AddressP.o. Box 4128, West StationMeridian, MS 39304-4128 · (601) 581-7562 · Fax (601) 581-7676

Phone(601) 581-7562

Fax(601) 581-7676

Organization SubpartYes

Authorized OfficialWilliam Hamrick EntrekinBusiness Services Director · (601) 581-7969

Enumeration DateOctober 27, 2006

Last NPPES UpdateJuly 27, 20203 updates tracked since enumeration

NPPES CertifiedJuly 27, 2020

✔ NPI 1972689313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 1230 (MS)

4555 HIGHLAND PARK DRIVE, Meridian, MS 39307

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Other Names 1

Other NameReginald P White Nursing Facility

Other Identifiers 1

Medicaid00023122MS

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 25D0689318

Reginald P White Nursing Facility · Meridian, MS

Active · expires Aug 31, 2026

CLIA Number25D0689318

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorDr. Michael Light

Laboratory Phone(601) 581-8501

Laboratory LocationReginald P White Nursing Facility1451 North Lakeland Drive, Meridian, MS 39307

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EAST MISSISSIPPI STATE HOSPITAL

Psychiatric Hospital

4555 HIGHLAND PARK DRIVE
MERIDIAN, MS 39307

Lauderdale County (601) 581-7600

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 East Mississippi State Hospital's NPI number?

The NPI number for East Mississippi State Hospital is 1972689313. It was assigned to this organization in the NPPES registry on October 27, 2006. The provider is also known as Reginald P White Nursing Facility.

Where is East Mississippi State Hospital located?

East Mississippi State Hospital is located at 4555 Highland Park Drive, Meridian, MS 39307. The listed phone number is (601) 581-7562.

What is East Mississippi State Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does East Mississippi State Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0689318) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Mississippi State Hospital was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.