Organization
PEARL RIVER EMERGENCY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SCHUMACHER MD (CEO)
(800) 893-9698
Entity
Organization
Contact information
Practice address
801 GOODYEAR BLVD, PICAYUNE, MS 39466-3221
(800) 893-9698
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
(337) 262-7246
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09057209
—
MS
Enumeration date
05/03/2006
Last updated
09/11/2025
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