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

Willow Bend Emergency Group, LLC

Organization Emergency Medicine Physician · NPI 1346808490

Willow Bend Emergency Group, LLC is an Emergency Medicine Physician in Picayune, Mississippi. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

130 Highland Pkwy
Picayune, MS 39466-5574
Phone: (601) 358-9400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1346808490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisha Falk — Vp Of Contracting · (337) 609-1221
NPI enumeratedJune 4, 2019
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

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