NPI

Mississippi State Department Of Health

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2014-05-12
Last updated
2014-05-12

Specialties

Licenses

The registry row did not include a license.

Location

Practice location
207 Main St
City
Purvis MS
Postal code
39475-5439
Phone
(601) 794-1055

Organization contact

Name
MITCHELL ADCOCK
Title
Chief Administrative Officer
Phone
6015767635

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Purvis, MS. 133 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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