Organization · Type 2 NPI

South Perry Elementary School

Federally Qualified Health Center (FQHC) · Beaumont, MS

NPI number 1003852203 Active

Practice location

1300 Beaumont Brooklyn Rd
Beaumont, MS 39423-2233

Call (601) 545-8700 Map

Fax (601) 582-5461

Mailing address

PO Box 1729
Hattiesburg, MS 39403-1729

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Other federally qualified health center (fqhc) providers in Beaumont

Beaumont Family Health CenterFederally Qualified Health Center (FQHC) Beaumont, MS NPI 1831166826

See all in Beaumont →

NPI record

NPI: 1003852203
Entity type: Organization (Type 2)
Issued: Jun 22, 2006
Last updated: Feb 6, 2026
Status: Active
Subpart: Yes of Southeast Mississippi Rural Health Initiative, Inc.

Other names

<unavail>
South Perry Elementary School · doing business as

Authorized official

Janice Robinson
CEO
(601) 545-8700

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1003852203

South Perry Elementary School's National Provider Identifier is 1003852203, issued on Jun 22, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Beaumont, MS. The record was last updated on Feb 6, 2026.