Organization · Type 2 NPI

Purvis Lower Elementary School

Federally Qualified Health Center (FQHC) · Purvis, MS

NPI number 1972177152 Active · reactivated Jul 8, 2022

Practice location

5976 US Highway 11
Purvis, MS 39475-5066

Call (601) 794-3302 Map

Fax (601) 796-9437

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...

Another provider at this address

Lamar County School DistrictStudent Health Clinic/Center Purvis, MS NPI 1730586538

Other federally qualified health center (fqhc) providers in Purvis

See all in Purvis →

NPI record

NPI: 1972177152
Entity type: Organization (Type 2)
Issued: May 13, 2021
Last updated: Feb 5, 2026
Status: Active

Other names

<unavail>
Purvis Lower Elementary School · doing business as
Purvis Lower 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 1972177152

Purvis Lower Elementary School's National Provider Identifier is 1972177152, issued on May 13, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Purvis, MS. The record was last updated on Feb 5, 2026.