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

Mississippi State University

Organization Family Medicine Physician · NPI 1356208367

Mississippi State University is a Family Medicine Physician in Mississippi State, Mississippi. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

195 Lee Blvd
Mississippi State, MS 39762-9698
Phone: (662) 325-5895
Fax: (662) 325-8888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1356208367
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Hale — Director, Fiscal Operations, Studen · (662) 325-5895
NPI enumeratedJanuary 9, 2026
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 8, 2026
Mailing addressPo Box 6338, Mississippi State, MS 39762-6338

Other providers in Mississippi State