Physician Group
NPI 1558679902ActiveOrganization· Clinic/Center, Multi-Specialty· Meridian, MS
Clinic/Center, Multi-Specialty in Meridian, Mississippi, registered in NPPES in September 2010, part of East Mississippi State Hospital. The authorized official on file is Charles Carlisle, Hospital Director.
Overview
| NPI | 1558679902 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | East Mississippi State Hospital |
| NPI issued | Sep 20, 2010 |
| Last updated in NPPES | May 12, 2020 |
| Certified by provider | May 12, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | 36-136 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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