NPIMap

Organization Active NPI

Forrest County General Hospital

Doing business as Highland Center for Women's Health RHC

  • Rural Health Clinic/Center
  • Picayune, MS
National Provider Identifier
1043820426
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FORREST COUNTY GENERAL HOSPITAL
Doing business as
Highland Center for Women's Health RHC
Practice address
128 Highland Pkwy Ste 202
Picayune, MS 39466-5578
Phone
(601) 358-9422
NPI assigned
Jul 31, 2020
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
FORREST COUNTY GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Sheree Jenkins
Title
Director of Revenue Systems
Phone
(601) 288-1890

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary
Obstetrics & Gynecology Physician 207V00000X

Addresses

Primary practice location

128 Highland Pkwy Ste 202
Picayune, MS 39466-5578

Mailing address

PO Box 15722
Hattiesburg, MS 39404-5722

Other names 1

  • Highland Center for Women's Health RHC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201029000077 MS Part A Provider - Rural Health Clinic 1052397767 Practice locations: Picayune, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043820426. Details of each certification follow.

Rural health clinic certification: CCN 258683

Legal name
FORREST COUNTY GENERAL HOSPITAL
Doing business as
HIGHLAND CENTER FOR WOMEN'S HEALTH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 12, 2024
Last certification
Jan 12, 2024
Ownership / control type
2B
Organization structure
OtherNon-profit
Incorporated
Sep 26, 1947 in MS
Enrollment address
128 Highland Pkwy
Suite 202
Picayune, MS 39466-5578
Related CCNs
250117

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

Other NPIs with the same Medicare PAC ID 24

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

View all 24

National Provider Directory

National Provider Directory
Part of
Forrest Cty Gen Hosp

Locations

1473 Highway 98 E
Ste 1200
Columbia, MS 39429
Phone (601) 736-4682

761 US Hwy 98 Byp
Ste A12
Columbia, MS 39429
Phone (601) 444-0330

304 S 40th Ave
Hattiesburg, MS 39402
Phone (801) 288-2500

4200 Mamie St
Ste 120
Hattiesburg, MS 39402
Phone (601) 288-4344

120 S 11th Ave
Laurel, MS 39440
Phone (601) 649-2273

1301 W 1st St
Laurel, MS 39440
Phone (601) 425-2608

30 Circle J Dr
Ste 3
Laurel, MS 39440
Phone (601) 425-2608

101 E Main Ave
Lumberton, MS 39455
Phone (601) 796-5623

1702 Highway 11 N
Ste A
Picayune, MS 39466
Phone (601) 799-3130

3200 Highway 11 N
#A
Picayune, MS 39466
Phone (601) 799-0815

505 N Front St
Richton, MS 39476
Phone (601) 323-6431

111 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-6121

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Forrest County General Hospital Organization, Picayune, MS Non-profit Operational/Managerial Control Aug 13, 2017
Sheree Jenkins Individual W-2 Managing EmployeeDirector of Revenue Systems Jan 1, 2019
Ben R Hester Individual Corporate OfficerCfo Aug 13, 2017
Courtney Lowrimore Individual Corporate OfficerContract Analyst May 1, 2016
OtherContract Analyst May 1, 2015

Owners & managing parties with NPI records 24

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

View all 24

All facility ownership & control disclosures 16

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

FacilityTypeRoleSince
Highland Community HospitalPicayune, MS, CCN 250117 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 May 1, 2006
May 1, 2006
The Orthopedic InstituteHattiesburg, MS, CCN 250078 Hospital 5% Or Greater Direct Ownership Interest Jul 15, 1952
Marion General HospitalColumbia, MS, CCN 250085 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Marion General HospitalColumbia, MS, CCN 25U085 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Jefferson Davis Community Hospital Swing BedPrentiss, MS, CCN 25Z326 Hospital Operational/Managerial Control (100%) Jul 1, 2011
Pearl River County Hospital and Nursing HomePoplarville, MS, CCN 251333 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2020
Feb 1, 2020
Pearl River County Hospital Swing BedPoplarville, MS, CCN 25Z333 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2020
Feb 1, 2020
Jefferson Davis Extended Care FacilityPrentiss, MS, CCN 255050 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Pearl River County Hospital and Nursing HomePoplarville, MS, CCN 255349 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2020
Feb 1, 2020
Forrest General Home Care of Marion GeneralColumbia, MS, CCN 257089 Home health agency 5% Or Greater Direct Ownership Interest Jan 1, 2012
Jefferson Davis Rural Health ClinicPrentiss, MS, CCN 258523 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jul 1, 2011
Jul 1, 2011
Marion County General HospitalColumbia, MS, CCN 258612 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 1, 2014
Oct 1, 2007
Highland Pediatric and Primary Care Rural Health ClinicPicayune, MS, CCN 258631 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 2018
Dec 1, 2018
Forrest County General HospitalPoplarville, MS, CCN 258556 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2020
Feb 1, 2020
Forrest County General HospitalRichton, MS, CCN 253452 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2022
Highland Family Medicine ClinicPicayune, MS, CCN 258673 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 1, 2022
Jun 1, 2022

Owned or controlled facilities with NPI records 16

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

View all 16

Facilities with the same owner 16

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 16

Practitioners & affiliated clinicians

Practitioners 237

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.

View all 237

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1043820426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15722",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394045722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 HIGHLAND PKWY STE 202",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394665578",
            "telephone_number": "601-358-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORREST COUNTY GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORREST COUNTY GENERAL HOSPITAL",
        "enumeration_date": "2020-07-31",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "SHEREE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE SYSTEMS",
        "authorized_official_telephone_number": "601-288-1890"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Center for Women's Health RHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Picayune, MS

Sources for this page

Verify at the official NPI Registry.