Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Forest Family Practice Clinic PA

Organization Family Medicine Physician · NPI 1235119181

Forest Family Practice Clinic PA is a Family Medicine Physician in Forest, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Medical Ln
Forest, MS 39074-4039
Phone: (601) 469-4861
Fax: (601) 469-4828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 05638 (MS)

Record details

NPI number1235119181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Lee — President · (601) 469-4861
NPI enumeratedJanuary 18, 2006
Last updated in NPPESOctober 22, 2008
Mailing addressPo Box 600, Forest, MS 39074-0600

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