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

Physician Group

Organization Multi-Specialty Clinic/Center · NPI 1558679902

Physician Group is a Multi-Specialty Clinic/Center in Meridian, Mississippi. Licensed in Mississippi. Registered with an NPI since 2010.

Licensed in
MS
In the registry since
2010

Practice location Address checks out

4555 Highland Park Dr
Meridian, MS 39307-5429
Phone: (601) 581-7969
Fax: (601) 581-7676
Show map & directions

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

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X · Licence 36-136 (MS)

Record details

NPI number1558679902
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEast Mississippi State Hospital
Authorized official Charles Carlisle — Hospital Director · (601) 581-7877
NPI enumeratedSeptember 20, 2010
Last updated in NPPESMay 12, 2020
Certification dateMay 12, 2020
Mailing addressPo Box 4128, Meridian, MS 39304-4128

Other providers in Meridian