Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

PETAL URGENT CARE LLC
NPI 1982908877
Clinic/Center - Urgent Care in Petal, MS

Active since January 06, 2011CLIA 25D2019409 · Waiver
1272 EVELYN GANDY PKWY STE 60, PETAL, MS 39465(707) 319-5068(601) 602-4681 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2026, Oct 28, 2022 (2 updates tracked since 2022).

About Petal Urgent Care Llc NPPES

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

PETAL URGENT CARE LLC (NPI 1982908877) is a healthcare organization registered as an urgent care in Petal, Mississippi and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through January 27, 2027, maintains 3 additional practice locations, and lists Brianne Nichole Whitney, Coo/president, as its authorized official.

NPPES Registry Identity

NPI1982908877
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePETAL URGENT CARE LLC
Location Address1272 EVELYN GANDY PKWY STE 60Petal, MS 39465-3953
Mailing AddressPo Box 1248Ocean Springs, MS 39566-1248 · (601) 336-5393 · Fax (601) 602-4681
Fax(601) 602-4681
Organization SubpartNo
Authorized OfficialBrianne Nichole WhitneyCoo/president · (707) 319-5068
Enumeration DateJanuary 6, 2011
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
NPI 1982908877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
1272 EVELYN GANDY PKWY STE 60, Petal, MS 39465

Secondary Practice Locations 3

Location 14910 Old Highway 11Hattiesburg, MS 39402-9767 · Phone (601) 336-5393
Location 2105 Highway 12 WStarkville, MS 39759-3761 · Phone (601) 336-5393
Location 3300 North Frontage Road, Suite 700Meridian, MS 39301 · Phone (601) 336-5393

Other Identifiers 1

Medicaid03704755MS

Accepted Insurance

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 25D2019409

Petal Urgent Care Clinic · Petal, MS
Active · expires Jan 27, 2027
CLIA Number25D2019409
Laboratory TypeUrgent Care
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorRonnie Ali
Laboratory Phone(601) 336-5393
Laboratory LocationPetal Urgent Care Clinic1272 Evelyn Gandy Parkway Ste 60, Petal, MS 39465
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Urgent Care LLC's NPI number?

The NPI number for Petal Urgent Care LLC is 1982908877. It was assigned to this organization in the NPPES registry on January 6, 2011.

Where is Petal Urgent Care LLC located?

Petal Urgent Care LLC is located at 1272 Evelyn Gandy Pkwy Ste 60, Petal, MS 39465. The listed phone number is (707) 319-5068.

What is Petal Urgent Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Petal Urgent Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2019409) is associated with this NPI, valid through January 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Petal Urgent Care LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Petal Urgent Care LLC 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 Urgent Care LLC was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.