Petal High School
NPI 1003153073 · Federally Qualified Health Center (FQHC) · Petal, MS
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Petal High School is a Federally Qualified Health Center (FQHC) organization in Petal, MS (NPI 1003153073).
Provider details
- NPI number
- 1003153073
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Southeast Mississippi Rural Health Initiative, Inc.
- Organization subpart
- Yes
- Authorized official
- Janice Robinson, C E O(601) 545-8700
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Petal High School
- Other name
- Petal High School
Registry dates
- Enumerated
- 2013-01-11
- Last updated
- 2026-02-05
- Certified
- 2026-02-05
Frequently asked questions
- What is Petal High School's NPI number?
- Petal High School's National Provider Identifier (NPI) is 1003153073, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Petal High School?
- Petal High School is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Petal High School located?
- Petal High School's practice location on file with NPPES is 1145 Highway 42, Petal, MS 39465-9740.
- What is Petal High School's phone number?
- The practice phone number listed in the NPPES registry for Petal High School is (601) 545-8700.
- Does Petal High School accept Medicare?
- Petal High School is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Petal High School?
- The authorized official listed on Petal High School's NPPES record is Janice Robinson, C E O. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Petal High School's NPI active?
- Yes — Petal High School's NPI (1003153073) is active in the NPPES registry as of the last update on 2026-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.