NPIMap

Organization Active NPI

Neshoba County General Hospital

Doing business as Neshoba Medical Associates

  • Rural Health Clinic/Center
  • Philadelphia, MS
National Provider Identifier
1003834979
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
258559 Issued in MS
Legal business name
NESHOBA COUNTY GENERAL HOSPITAL
Doing business as
Neshoba Medical Associates
Practice address
213 Hospital Rd W
Philadelphia, MS 39350-2211
Phone
(601) 663-1210
Fax
(601) 663-1211
NPI assigned
Jul 18, 2006
Last updated
Aug 5, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
NESHOBA COUNTY GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gary Lee McCall Jr.
Title
Ceo
Phone
(601) 663-1360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 258559 MS Primary

Addresses

Primary practice location

213 Hospital Rd W
Philadelphia, MS 39350-2211

Mailing address

213 Hospital Rd W
Philadelphia, MS 39350-2211
Phone (601) 663-1210

Other identifiers 3

IdentifierTypeStateIssuer
07089504MedicaidMS
25-8559OtherMSMEDICARE PART A
06322054MedicaidMS

Other names 1

  • Neshoba Medical Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110226000126 MS Part A Provider - Rural Health Clinic 6204738289 Practice locations: Philadelphia, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003834979. Details of each certification follow.

Rural health clinic certification: CCN 258559

Legal name
NESHOBA COUNTY GENERAL HOSPITAL
Doing business as
NESHOBA MEDICAL ASSOCIATES
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 12, 2012
Last certification
Jan 8, 2026
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
213 Hospital Rd E
Philadelphia, MS 39350-2119
Related CCNs
251340

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D1048283Neshoba Medical Associates213 E Hospital Road, Philadelphia, MS 39350ComplianceAug 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
Ms Neurodiagnostic Lab16 organizations share this tax ID, including this one
Part of
Ms Neurodiagnostic Lab

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/30747ffd-8a27-4deb-952a-ce2992dc36bd/

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gary L McCall Individual Corporate OfficerCeo Oct 1, 2014 100%
Neshoba County General Hospital Organization, Philadelphia, MS Non-profit Other Apr 1, 2012 100%
Scott McNair Individual Corporate OfficerCfo Oct 1, 2014 100%
Operational/Managerial ControlCfo Oct 1, 2014 100%

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Neshoba County General HospitalPhiladelphia, MS, CCN 25U043 Hospital Operational/Managerial Control (100%) May 1, 2009
Neshoba County General Hospital Psych UnitPhiladelphia, MS, CCN 25S043 Hospital Operational/Managerial Control May 1, 2009
Neshoba County General HospitalPhiladelphia, MS, CCN 25Z340 Hospital Operational/Managerial Control Jan 1, 2025
Neshoba County General HospitalPhiladelphia, MS, CCN 251340 Hospital Operational/Managerial Control Jan 1, 2025
Neshoba County General Hospital-Nursing HomePhiladelphia, MS, CCN 255137 Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Direct Ownership Interest (100%)		 Oct 22, 2009
Oct 22, 2009
Oct 22, 2009

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1003834979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 HOSPITAL RD W",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502211",
            "telephone_number": "601-663-1210",
            "fax_number": "601-663-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 HOSPITAL RD W",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502211",
            "telephone_number": "601-663-1210",
            "fax_number": "601-663-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESHOBA COUNTY GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NESHOBA COUNTY GENERAL HOSPITAL",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-663-1360",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MS",
            "license": "258559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07089504",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "25-8559",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06322054",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neshoba Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, MS

Sources for this page

Verify at the official NPI Registry.