PETAL URGENT CARE LLC
Medicare Clinicians for 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

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Petal Urgent Care LLC in Petal, MS bills Medicare for 38 clinicians across 2 Medicare specialties. The largest specialties are Nurse Practitioner with 36 and Emergency Medicine with 2. Of these, 5 practice within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

38Clinicians
2Medicare specialties
38PECOS enrolled
31Accept Medicare
38 clinicians in 2 specialties

Nurse Practitioner (36)

Nurse Practitioner
NPI 1114291184
100 EASTBROOK DR STE 30
Petal, MS 39465
(601) 336-5393
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1649666744
100 S 20TH AVE STE A
Hattiesburg, MS 39401
(769) 250-8054
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1316480320
5909 U S HIGHWAY 49 STE 20
Hattiesburg, MS 39402
(601) 261-1533
✔ PECOS5.4 mi
Nurse Practitioner
NPI 1487631461
118 COLLEGE DR
Hattiesburg, MS 39406
(601) 266-6087
✔ PECOS✔ Accepts Medicare5.6 mi
Nurse Practitioner
NPI 1730295619
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5700
✔ PECOS✔ Accepts Medicare5.7 mi
Nurse Practitioner
NPI 1447682729
4910 OLD HIGHWAY 11
Hattiesburg, MS 39402
(769) 390-7981
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1780354217
3 JOHN EVERETT RD
Moselle, MS 39459
(601) 620-9991
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1508962101
1101 HIGHWAY 11 S
Ellisville, MS 39437
(601) 477-5795
✔ PECOS16 mi
Nurse Practitioner
NPI 1700125895
1101 HIGHWAY 11 S
Ellisville, MS 39437
(601) 477-5771
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1003055005
1101 HWY 11 S
Ellisville, MS 39437
(601) 477-5770
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1356715361
4000 HIGHWAY 15 S
Richton, MS 39476
(601) 319-7660
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1194967794
1220 JEFFERSON ST
Laurel, MS 39440
(601) 426-4000
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1548656614
117 S 11TH AVE
Laurel, MS 39440
(601) 425-3033
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1689027492
30 CIRCLE J DR STE 1
Laurel, MS 39440
(601) 425-0092
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1679862817
403 PINE ST
Taylorsville, MS 39168
(601) 452-7080
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1568074151
403 PINE ST
Taylorsville, MS 39168
(601) 452-7080
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1225202864
1434 CENTRAL AVE E
Wiggins, MS 39577
(228) 436-1191
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1619558251
1130 FRONTAGE DR W
Wiggins, MS 39577
(601) 716-8012
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1972113439
300 3RD AVE SE
Magee, MS 39111
(601) 849-5070
✔ PECOS✔ Accepts Medicare46 mi
Nurse Practitioner
NPI 1386196277
200 GOLF COURSE DR STE M
Carriere, MS 39426
(769) 242-3185
✔ PECOS✔ Accepts Medicare53 mi
Nurse Practitioner
NPI 1902076011
1018 SIXTH AVE SUITE A
Picayune, MS 39466
(601) 799-4044
✔ PECOS✔ Accepts Medicare62 mi
Nurse Practitioner
NPI 1306270269
9421 EASTSIDE DRIVE EXT
Newton, MS 39345
(601) 683-2031
✔ PECOS67 mi
Nurse Practitioner
NPI 1215949896
2490 PASS RD
Biloxi, MS 39531
(228) 207-9967
✔ PECOS✔ Accepts Medicare67 mi
Nurse Practitioner
NPI 1578128336
1514 BIENVILLE BLVD
Ocean Springs, MS 39564
(228) 382-9222
✔ PECOS✔ Accepts Medicare69 mi
Nurse Practitioner
NPI 1679628697
804 ROBB ST
Summit, MS 39666
(601) 608-0900
✔ PECOS✔ Accepts Medicare71 mi
Nurse Practitioner
NPI 1437744034
215 MARION AVE
Mccomb, MS 39648
(601) 249-5500
✔ PECOS✔ Accepts Medicare73 mi
Nurse Practitioner
NPI 1285268235
2605 COURTHOUSE CIR
Flowood, MS 39232
(601) 397-6174
✔ PECOS✔ Accepts Medicare85 mi
Nurse Practitioner
NPI 1649390782
1860 CHADWICK DR SUITE 254
Jackson, MS 39204
(601) 376-2818
✔ PECOS✔ Accepts Medicare88 mi
Nurse Practitioner
NPI 1740347483
1850 CHADWICK DR
Jackson, MS 39204
(601) 824-3977
✔ PECOS88 mi
Nurse Practitioner
NPI 1770113441
6823 SAINT CHARLES AVE BLDG 92
New Orleans, LA 70118
(504) 865-5255
✔ PECOS110 mi
Nurse Practitioner
NPI 1649419334
1911 MISSION 66 STE B
Vicksburg, MS 39180
(601) 456-2598
✔ PECOS✔ Accepts Medicare117 mi
Nurse Practitioner
NPI 1265155121
2095 S CHURCH AVE
Louisville, MS 39339
(662) 803-0415
✔ PECOS122 mi
Nurse Practitioner
NPI 1346337920
2095 S CHURCH AVE
Louisville, MS 39339
(662) 736-9806
✔ PECOS✔ Accepts Medicare122 mi
Nurse Practitioner
NPI 1164759965
824 ALABAMA ST
Columbus, MS 39702
(662) 244-0391
✔ PECOS✔ Accepts Medicare156 mi
Nurse Practitioner
NPI 1952339335
1573 JANE ST
Greenville, MS 38703
(601) 941-7181
✔ PECOS✔ Accepts Medicare175 mi
Nurse Practitioner
NPI 1750789863
400 S CHESTNUT ST
Aberdeen, MS 39730
(662) 369-2455
✔ PECOS✔ Accepts Medicare175 mi

Emergency Medicine (2)

Emergency Medicine
NPI 1497735039
11564 STANTON CIR
Gulfport, MS 39503
(228) 896-1016
✔ PECOS✔ Accepts Medicare65 mi
Emergency Medicine
NPI 1073566063
2301 S LAMAR BLVD
Oxford, MS 38655
(800) 291-4020
✔ PECOS207 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Petal Urgent Care LLC appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.