Physician Group
Physician Group is a healthcare organization registered as Multi-Specialty Clinic/Center in Meridian, MS, holding Type 2 (organization) NPI 1558679902 since 2010. The authorized official on file is Charles Carlisle, Hospital Director.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1558679902 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Physician Group |
| Parent organization | East Mississippi State Hospital |
| Practice address | 4555 HIGHLAND PARK DR, Meridian, MS, 39307 |
| Phone | 6015817969 |
| Fax | 6015817676 |
| Enumeration date | 2010-09-20 |
| Last updated in NPPES | 2020-05-12 |
Authorized official
| Name | Charles Carlisle |
|---|---|
| Title | Hospital Director |
| Phone | 6015817877 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM1300X | Multi-Specialty Clinic/Center | Primary | 36-136 | MS |
Copy-ready billing details
Provider: Physician Group NPI: 1558679902 Taxonomy: 261QM1300X (Multi-Specialty Clinic/Center) Address: 4555 HIGHLAND PARK DR, Meridian, MS, 39307
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1801956438 | Luis Borrell | Individual | Internal Medicine Physician | Meridian, MS |
| 1679636773 | Ramiro Martinez | Individual | Family Medicine Physician | Meridian, MS |
| 1235373663 | Kim Nagel | Individual | Psychiatry Physician | Meridian, MS |
| 1093038234 | Magnolia Clinic | Organization | Clinic/Center | Meridian, MS |
| 1629394853 | East Mississippi State Hospital | Organization | Nursing Facility/Intermediate Care Facility | Meridian, MS |
| 1649587460 | Stella Gervin-Ward | Individual | Clinical Social Worker | Meridian, MS |
| 1891059184 | Curtis Jones | Individual | Clinical Social Worker | Meridian, MS |
| 1356689640 | Angela Mars | Individual | Professional Counselor | Meridian, MS |
Verify this record
Cross-check NPI 1558679902 against the authoritative CMS record: view Physician Group 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
Where is Physician Group located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-05-12.