OrganizationActive
Oak Grove Longleaf
NPI 1053985226 · Federally Qualified Health Center (FQHC) · Hattiesburg, MS
Provider details
- NPI number
- 1053985226
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Janice Robinson, Ceo(601) 545-8700
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
5279 W 4th St
Hattiesburg, MS 39402-9700
Phone: (601) 264-3858
Fax: (601) 450-2493
Street-level locationGet directions
Mailing address
Po Box 1729
Hattiesburg, MS 39403-1729
Other names (DBA / former)
- Doing business as
- Oak Grove Longleaf
- Doing business as
- Oak Grove Longleaf
Registry dates
- Enumerated
- 2021-05-13
- Last updated
- 2026-02-05
- Certified
- 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.