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Southern Primary Care Pllc

Family Medicine Physician in Brookhaven, MS · enumerated 2011 · authorized official Robert Walker, Owner/President.

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

National Provider Identifier

1891083135

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Primary Care Pllc
Practice address 511 Brookman Dr, Brookhaven, MS, 39601
Phone (601) 833-3800
Fax (601) 833-3847
Enumeration date Jul 20, 2011
Last updated in NPPES Jul 20, 2011

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Robert Walker
Title Owner/President
Phone (601) 833-3800

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 Southern Primary Care Pllc?
NPPES lists Robert Walker (Owner/President) as the authorized official for this organization.
What is the NPI number for Southern Primary Care Pllc?
The NPI for Southern Primary Care Pllc is 1891083135, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-07-20.