PICAYUNE FAMILY HEALTH CENTER – NPI #1003013764
Clinic/Center

PICAYUNE FAMILY HEALTH CENTER is an AHC clinic located in PICAYUNE, MS. NPPES has assigned the NPI number 1003013764 to PICAYUNE FAMILY HEALTH CENTER on June 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Feb 06, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PICAYUNE FAMILY HEALTH CENTER below.

NPI Profile for
PICAYUNE FAMILY HEALTH CENTER

NPI Number
1003013764
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PICAYUNE FAMILY HEALTH CENTER
Primary location
1911 READ RD
PICAYUNE, MS 39466-2730
Phone: (601) 545-8700 Fax: (601) 582-5461
Mailing address
PO BOX 1729
HATTIESBURG, MS 39403-1729
Phone: (601) 545-8700 Fax: (601) 450-2493
Organization Subpart
Yes - PICAYUNE FAMILY HEALTH CENTER is subpart of another organization.
Authorized Official
JANICE ROBINSON
C.E.O.
Phone: (601) 545-8700
Updated
Certification Date
Feb 06, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PICAYUNE FAMILY HEALTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMS007250059
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)		 MS

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.