Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pelahatchie Family Medicine

Organization Family Medicine Physician · NPI 1982942223

Pelahatchie Family Medicine provides Family Medicine Physician services in Pelahatchie, Mississippi. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

507 Second St
Pelahatchie, MS 39145-2786 Not confirmed with CMS for 12 years — call before visiting
Phone: (601) 854-8002
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 number1982942223
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Krooss — Managing Partner · (601) 932-3191
NPI enumeratedJanuary 22, 2013
Last updated in NPPESSeptember 22, 2014
Mailing addressPo Box 320609, Flowood, MS 39232-0609

Other providers in Pelahatchie