Petal High School
Petal High School is a healthcare organization registered as Federally Qualified Health Center (FQHC) in Petal, MS, holding Type 2 (organization) NPI 1003153073 since 2013. The authorized official on file is Janice Robinson, C E O.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1003153073 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Petal High School |
| Other name | <Unavail> |
| Parent organization | Southeast Mississippi Rural Health Initiative, Inc. |
| Practice address | 1145 HIGHWAY 42, Petal, MS, 39465 |
| Phone | 6015458700 |
| Fax | 6014502493 |
| Enumeration date | 2013-01-11 |
| Last updated in NPPES | 2026-02-05 |
Authorized official
| Name | Janice Robinson |
|---|---|
| Title | C E O |
| Phone | 6015458700 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QF0400X | Federally Qualified Health Center (FQHC) | Primary | — | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007003741 | Medicaid | MS | — |
Copy-ready billing details
Provider: Petal High School NPI: 1003153073 Taxonomy: 261QF0400X (Federally Qualified Health Center (FQHC)) Address: 1145 HIGHWAY 42, Petal, MS, 39465
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1780646943 | Anna Powell | Individual | Athletic Trainer | Petal, MS |
| 1447359229 | John Bumgardner | Individual | Specialist | Petal, MS |
| 1134285273 | Pedro Moreno | Individual | Specialist | Petal, MS |
Verify this record
Cross-check NPI 1003153073 against the authoritative CMS record: view Petal High School on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Petal High School?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-02-05.