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Region 12 Commission on Mental Health & Retardation Pine

Community/Retail Pharmacy in Hattiesburg, MS · enumerated 2008 · authorized official Jerry Mayo, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1861645657

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Registry record

Entity type Organization (Type 2)
Legal business name Region 12 Commission on Mental Health & Retardation Pine
Other name <Unavail>
Practice address 103 S 19th Ave, Hattiesburg, MS, 39401
Fax (601) 450-4632
Enumeration date Oct 24, 2008
Last updated in NPPES Feb 16, 2017

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 07864/5.1 (MS) Primary

Authorized official

Name Jerry Mayo
Title Ceo

Other identifiers

Identifier Type State Issuer
2117558 Other - PK

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.

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Frequently asked questions

Who is the authorized official for Region 12 Commission on Mental Health & Retardation Pine?
NPPES lists Jerry Mayo (Ceo) as the authorized official for this organization.
What is the NPI number for Region 12 Commission on Mental Health & Retardation Pine?
The NPI for Region 12 Commission on Mental Health & Retardation Pine is 1861645657, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-02-16.