OrganizationActive
Providence
NPI 1821567991 · Driver · Foxworth, MS
Provider details
- NPI number
- 1821567991
- Entity type
- Organization
- Primary specialty
- DriverOther Service Providers
- Organization subpart
- No
- Authorized official
- David Smith, Ceo(601) 395-7602
- License
- 8000427553 (MS)
Specialties & taxonomies
Other Service Providers
Transportation Services
Transportation Services
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
17 Daisy Ln
Foxworth, MS 39483-4868
Phone: (601) 395-7602
Street-level locationGet directions
Mailing address
17 Daisy Ln
Foxworth, MS 39483-4868
Other names (DBA / former)
- Doing business as
- Providance
Registry dates
- Enumerated
- 2018-11-19
- Last updated
- 2018-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.