Organization
Pathway Healthcare - Jackson, MS, LLC
Provider's NPPES record last updated: May 11, 2023
Overview
- Entity Type
- Organization
- NPI
- 1487179156
- Primary Specialty
- Family Medicine — Addiction Medicine
- Practice Location
- Jackson, Mississippi
- Organization Subpart
- Yes
- Parent Organization
- Pathway Healthcare- Mississippi LLC
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 6:21 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Addiction Medicine
Allopathic & Osteopathic Physicians
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Taxonomy code 207QA0401X
Practice Locations
Practice Location
1200 N State St Ste 450
Jackson, Mississippi 39202-2000
Phone: (205) 208-9312
Additional Practice Location
5 Dunnbarr
Laurel, Mississippi 39440-1041
Phone: (205) 208-9312
Additional Practice Location
4075 Pemberton Square Blvd
Vicksburg, Mississippi 39180-5580
Phone: (205) 208-9312
Additional Practice Location
3600 Bluecutt Rd Ste 201
Columbus, Mississippi 39705-1397
Phone: (205) 208-9312
Record Information
- Enumeration Date
- August 3, 2017
- Provider's NPPES Record Last Updated
- May 11, 2023
- Certification Date
- May 11, 2023
- NPISignal NPPES Dataset
- August 2026
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