Southern Primary Care Pllc - Medicare Primary Care in Brookhaven, MS

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Southern Primary Care Pllc is a medicare enrolled primary clinic (Family Medicine) in Brookhaven, Mississippi. The current practice location for Southern Primary Care Pllc is 511 Brookman Dr, Brookhaven, Mississippi. For appointments, you can reach them via phone at (601) 833-3800. The mailing address for Southern Primary Care Pllc is 511 Brookman Dr, Brookhaven, Mississippi and phone number is (601) 833-3800.

Southern Primary Care Pllc is licensed to practice in Mississippi (license number ). The clinic also participates in the medicare program and its NPI number is 1891083135. 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) 833-3800.

Contact Information

Southern Primary Care Pllc
511 Brookman Dr
Brookhaven
MS 39601-2326
(601) 833-3800
(601) 833-3847

Map and Direction


Primary Care Clinic Profile

Full NameSouthern Primary Care Pllc
SpecialityFamily Medicine
Location511 Brookman Dr, Brookhaven, Mississippi
Authorized Official Name and PositionRobert K Walker (OWNER/PRESIDENT)
Authorized Official Contact6018333800
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southern Primary Care Pllc
511 Brookman Dr
Brookhaven
MS 39601-2326

Ph: (601) 833-3800		Southern Primary Care Pllc
511 Brookman Dr
Brookhaven
MS 39601-2326

Ph: (601) 833-3800

NPI Details:

NPI Number1891083135
Provider Enumeration Date07/20/2011
Last Update Date07/20/2011

Medicare PECOS Information:

Medicare PECOS PAC ID3870765258
Medicare Enrollment IDO20111006000516

Medical Identifiers

Medical identifiers for Southern Primary Care Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891083135NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (Mississippi)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southern Primary Care Pllc acts as a billing entity for following providers:
Provider NameRobert K Walker
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1225205313
PECOS PAC ID: 3779755152
Enrollment ID: I20111006000529
Provider NameBriana Hall Price
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366828733
PECOS PAC ID: 9931409026
Enrollment ID: I20151120002162
Provider NameMelissa J Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609396076
PECOS PAC ID: 4284994856
Enrollment ID: I20180131001427
Provider NameMarty Kyle Ballard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023622081
PECOS PAC ID: 2163830118
Enrollment ID: I20210413000887

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.