Internal Medicine
HEALTH FACILITY LABORATORY
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1699366542 · enumerated 2021-02-02 · record updated 2024-05-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JACOB PARKER MD, Registerd Nurse · (601) 329-1321
Other names: PINE GROVE BEHAVIORAL HEALTH, PMGROUP
Addresses and phones
- Mailing address 300 FAIRWAY DR, HATTIESBURG, MS, 39401-7715 (601) 329-1321 Google Maps Apple Maps OpenStreetMap
- Practice location 300 FAIRWAY DR, HATTIESBURG, MS, 39401-7715 (601) 329-1321 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · Primary
- Private Vehicle 347C00000X
- Train 347D00000X
Published links
In this directory
Locations and evidence
-
Practice location
HATTIESBURG, MS, 394017715
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.