Southern Primary Care PLLC
NPI 1891083135ActiveOrganization· Family Medicine· Brookhaven, MS
Family Medicine in Brookhaven, Mississippi, registered in NPPES in July 2011. The authorized official on file is Robert K. Walker, MD, Owner/President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1891083135 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 20, 2011 |
| Last updated in NPPES | Jul 20, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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