ADDICTION CAMPUSES OF MISSISSIPPI, LLC – NPI #1487067237
Clinic/Center

ADDICTION CAMPUSES OF MISSISSIPPI, LLC is an AHC clinic located in SOUTHAVEN, MS. NPPES has assigned the NPI number 1487067237 to ADDICTION CAMPUSES OF MISSISSIPPI, LLC on June 10, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QR0405X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation, Substance Use Disorder

The NPI profile was last updated on Feb 23, 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 ADDICTION CAMPUSES OF MISSISSIPPI, LLC below.

NPI Profile for
ADDICTION CAMPUSES OF MISSISSIPPI, LLC

NPI Number
1487067237
Enumeration Date

(more than 12 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
ADDICTION CAMPUSES OF MISSISSIPPI, LLC
Primary location
478 MARATHON WAY STE 4
SOUTHAVEN, MS 38671-9523
Phone: (662) 510-5980 Fax: (662) 510-5965
1 Other location(s):
7185 Swinnea Rd
Southaven, MS 38671-6003
Phone: (662) 280-5758
Mailing address
1 PERIMETER PARK S STE 200
BIRMINGHAM, AL 35243-2327
Phone: (205) 251-7753 Fax:
Organization Subpart
No
Authorized Official
MARK EDWARDS
CFO
Phone: (205) 244-8112
Updated
Certification Date
Feb 23, 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.

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
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder (Primary)
324500000X
- Substance Abuse Rehabilitation Facility

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.