Health Facility Laboratory
NPI 1699366542ActiveOrganization· Internal Medicine· Hattiesburg, MS
Internal Medicine in Hattiesburg, Mississippi, registered in NPPES in February 2021. The authorized official on file is Jacob Parker, MD, Registerd Nurse.
Overview
| NPI | 1699366542 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 2, 2021 |
| Last updated in NPPES | May 6, 2024 |
| Certified by provider | May 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Private Vehicle | 347C00000X | — | — |
| Train | 347D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 |
|---|
Other Internal Medicine providers in Hattiesburg
- 1053512087
- 1376670869
- 1386733350
- 1861573792
- 1821457623
- 1700830494
- 1811120512
- 1568026425
- 1639899198
- 1033366174
- 1811574494
- 1659362457