Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
REGION XII COMMISSION
Active
Organization
REGION XII COMMISSION
Active
Other names
Pine Belt Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY MAYO (EXECUTIVE DIRECTOR)
(601) 544-4641
Entity
Organization
Contact information
Practice address
934 WEST DR, LAUREL, MS 39440-4702
(601) 426-7520
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1902
(601) 705-1952
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up