PATHWAY HEALTHCARE- MISSISSIPPI LLC – NPI #1013425503
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

PATHWAY HEALTHCARE- MISSISSIPPI LLC is a provider located in LAUREL, MS. NPPES has assigned the NPI number 1013425503 to PATHWAY HEALTHCARE- MISSISSIPPI LLC on January 18, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was last updated on May 30, 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 PATHWAY HEALTHCARE- MISSISSIPPI LLC below.

NPI Profile for
PATHWAY HEALTHCARE- MISSISSIPPI LLC

NPI Number
1013425503
Enumeration Date

(more than 8 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
PATHWAY HEALTHCARE- MISSISSIPPI LLC
Primary location
5 DUNBAR STREET
LAUREL, MS 39443-1041
Phone: (662) 434-4210 Fax: (205) 848-2227
2 Other location(s):
605 2nd Ave N
Columbus, MS 39701-4513
Phone: (662) 434-4210
Fax: (662) 657-1044
2655 Lakeland Dr
Flowood, MS 39232-9516
Phone: (601) 957-7343
Fax: (601) 957-7344
Mailing address
48 MEDICAL PARK DR E STE 453
BIRMINGHAM, AL 35235-3472
Phone: (205) 208-9312 Fax: (205) 848-2227
Organization Subpart
No
Authorized Official
KRISTINA MOORE
CREDENTIALING
Phone: (205) 208-9312
Updated
Certification Date
May 30, 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
207QA0401X
- Family Medicine / Addiction Medicine (Primary)

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.