OrganizationActive
Pathway Healthcare- Mississippi LLC
NPI 1013425503 · Addiction Medicine (Family Medicine) Physician · Laurel, MS
Provider details
- NPI number
- 1013425503
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristina Moore, Credentialing(205) 208-9312
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5 Dunbar Street
Laurel, MS 39443-1041
Phone: (662) 434-4210
Fax: (205) 848-2227
Approximate (ZIP-level) locationGet directions
Mailing address
48 Medical Park Dr E Ste 453
Birmingham, AL 35235-3472
Other names (DBA / former)
- Other name
- Pathway Healthcare Laurel Ms
Additional practice locations (2)
- 605 2nd Ave NColumbus, MS 39701-4513Phone: (662) 434-4210Fax: (662) 657-1044
- 2655 Lakeland DrFlowood, MS 39232-9516Phone: (601) 957-7343Fax: (601) 957-7344
Registry dates
- Enumerated
- 2018-01-18
- Last updated
- 2026-05-30
- Certified
- 2026-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.