OrganizationActive
Mississippi State Department of Health
NPI 1922384551 · Public Health or Welfare Agency · Southaven, MS
Provider details
- NPI number
- 1922384551
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Michael Lucius, Chief Administrative Officer(601) 576-7853
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(80/100 index)
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
8705 Northwest Dr
Suite 1
Southaven, MS 38671-2430
Phone: (662) 393-2775
Street-level locationGet directions
Mailing address
Po Box 1700
Jackson, MS 39215-1700
Registry dates
- Enumerated
- 2011-10-27
- Last updated
- 2011-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.