Pathway Healthcare- Mississippi LLC
NPI 1013425503 · Addiction Medicine (Family Medicine) Physician · Laurel, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pathway Healthcare- Mississippi LLC is a Addiction Medicine (Family Medicine) Physician organization in Laurel, MS (NPI 1013425503).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
- 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
Frequently asked questions
- What is Pathway Healthcare- Mississippi LLC's NPI number?
- Pathway Healthcare- Mississippi LLC's National Provider Identifier (NPI) is 1013425503, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pathway Healthcare- Mississippi LLC?
- Pathway Healthcare- Mississippi LLC is classified in the NPPES registry as Addiction Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Pathway Healthcare- Mississippi LLC located?
- Pathway Healthcare- Mississippi LLC's practice location on file with NPPES is 5 Dunbar Street, Laurel, MS 39443-1041.
- What is Pathway Healthcare- Mississippi LLC's phone number?
- The practice phone number listed in the NPPES registry for Pathway Healthcare- Mississippi LLC is (662) 434-4210.
- Does Pathway Healthcare- Mississippi LLC accept Medicare?
- Pathway Healthcare- Mississippi LLC 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 Pathway Healthcare- Mississippi LLC?
- The authorized official listed on Pathway Healthcare- Mississippi LLC's NPPES record is Kristina Moore, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pathway Healthcare- Mississippi LLC's NPI active?
- Yes — Pathway Healthcare- Mississippi LLC's NPI (1013425503) is active in the NPPES registry as of the last update on 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.