<unavail> in Sumrall, MS - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Sumrall, Mississippi. The current practice location for is 1217 Highway 42, Sumrall, Mississippi. For appointments, you can reach them via phone at (601) 758-4416. The mailing address for is Po Box 1729, Hattiesburg, Mississippi and phone number is (601) 545-8700.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1912571183. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (601) 758-4416.

Contact Information


	1217 Highway 42 Sumrall MS 39482-9612
	(601) 758-4416
	(601) 796-9437

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1217 Highway 42, Sumrall, Mississippi
Authorized Official Name and Position	Kaye Ray (CEO)
Authorized Official Contact	6015458700
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 1729 Hattiesburg MS 39403-1729 Ph: (601) 545-8700	1217 Highway 42 Sumrall MS 39482-9612 Ph: (601) 758-4416

NPI Details:

NPI Number	1912571183
Provider Enumeration Date	05/13/2021
Last Update Date	09/06/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	2466342605
Medicare Enrollment ID	O20220930001773

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912571183	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Sumrall, MS

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 198 Todd Rd, Sumrall, MS 39482 Phone: 601-758-4289 Fax: 601-796-9437
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1016 Highway 42, Sumrall, MS 39482 Phone: 601-758-4214 Fax: 601-758-0614
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 184 Center Ave, Sumrall, MS 39482 Phone: 601-758-4730 Fax: 601-796-9437
South Mississippi Emergency Physicians,pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4891 Highway 589, Sumrall, MS 39482 Phone: 601-758-4606 Fax: 601-758-4615
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1039 Highway 42 Ste C, Sumrall, MS 39482 Phone: 601-765-6711 Fax: 601-698-0112
Hattiesburg Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100 Fax: 601-758-3060

- Medicare Primary Care in Sumrall, MS