Organization · Type 2 NPI

Sumrall Family Health Center

Federally Qualified Health Center (FQHC) · Sumrall, MS

NPI number 1184694036 Active

Practice location

1016 Highway 42
Sumrall, MS 39482-9634

Call (601) 758-4214 Map

Fax (601) 758-0614

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...

2 other providers at this address

Brandon L. Coleman, D. O.Family Medicine Physician Sumrall, MS NPI 1881685782
Ginger N. Pace-Herndon, MDFamily Medicine Physician Sumrall, MS NPI 1649480971

Other federally qualified health center (fqhc) providers in Sumrall

See all in Sumrall →

NPI record

NPI: 1184694036
Entity type: Organization (Type 2)
Issued: Jan 24, 2006
Last updated: Feb 5, 2026
Status: Active
Subpart: Yes of Southeast Mississippi Rural Health Initiative, Inc

Other names

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Sumrall Family Health Center · doing business as
Sumrall Family Health Center · doing business as

Authorized official

Janice Robinson, CEO
Chief Executive Officer
(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.

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About NPI 1184694036

Sumrall Family Health Center's National Provider Identifier is 1184694036, issued on Jan 24, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Sumrall, MS. The record was last updated on Feb 5, 2026.