Southern Primary Care PLLC
NPI 1891083135 · Family Medicine Physician · Brookhaven, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Primary Care PLLC is a Family Medicine Physician organization in Brookhaven, MS (NPI 1891083135).
Provider details
- NPI number
- 1891083135
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Walker, Owner/President(601) 833-3800
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
14 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
Registry dates
- Enumerated
- 2011-07-20
- Last updated
- 2011-07-20
Frequently asked questions
- What is Southern Primary Care PLLC's NPI number?
- Southern Primary Care PLLC's National Provider Identifier (NPI) is 1891083135, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Primary Care PLLC?
- Southern Primary Care PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Primary Care PLLC located?
- Southern Primary Care PLLC's practice location on file with NPPES is 511 Brookman Dr, Brookhaven, MS 39601-2326.
- What is Southern Primary Care PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Primary Care PLLC is (601) 833-3800.
- Does Southern Primary Care PLLC accept Medicare?
- Southern Primary Care PLLC 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 Southern Primary Care PLLC?
- The authorized official listed on Southern Primary Care PLLC's NPPES record is Robert Walker, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Primary Care PLLC's NPI active?
- Yes — Southern Primary Care PLLC's NPI (1891083135) is active in the NPPES registry as of the last update on 2011-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.