Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mississippi State University

Organization Family Medicine Physician · NPI 1356208367

Mississippi State University provides Family Medicine Physician services in Mississippi State, Mississippi. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

195 Lee Blvd
Mississippi State, MS 39762-9698
Phone: (662) 325-5895
Fax: (662) 325-8888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1356208367
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Hale — Director, Fiscal Operations, Studen · (662) 325-5895
NPI enumeratedJanuary 9, 2026
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 8, 2026
Mailing addressPo Box 6338, Mississippi State, MS 39762-6338

Other providers in Mississippi State