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

Oak Grove Longleaf

Organization Federally Qualified Health Center (FQHC) · NPI 1053985226

Oak Grove Longleaf is a Federally Qualified Health Center (FQHC) in Hattiesburg, Mississippi. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

5279 W 4th St
Hattiesburg, MS 39402-9700
Phone: (601) 264-3858
Fax: (601) 450-2493
Show map & directions

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

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X

Record details

NPI number1053985226
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janice Robinson — Ceo · (601) 545-8700
Other names Oak Grove Longleaf; Oak Grove Longleaf
NPI enumeratedMay 13, 2021
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026
Mailing addressPo Box 1729, Hattiesburg, MS 39403-1729

Other providers in Hattiesburg