North Mississippi Primary Health Care, Inc.

Organization Active NPI Federally Qualified Health Center (FQHC) · Oxford, MS

NPI 1063078079 · NPPES record last updated Aug 31, 2026

Key facts

NPI
1063078079
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Practice address
2716 W Oxford Loop Ste 171
Oxford, MS 38655-5722
Phone
(662) 715-3335
Fax
(662) 638-3054
NPI assigned
May 15, 2019
Organization subpart
No

Authorized official

Name
William Hardee Stone
Title
Ceo
Phone
(662) 224-8951

Owned or controlled facilities with NPI records 10

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

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 10

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

Corporate family (same tax ID) 15

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

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MS

Federally qualified health center certification: CCN 251088

Legal name
NORTH MISSISSIPPI PRIMARY HEALTH CARE INC
Doing business as
OXFORD HEALTH CARE ASSOCIATES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 24, 2019
Last certification
Jun 24, 2019
Ownership / control type
For profit – partnership
Organization structure
Corporation · Non-profit
Incorporated
Jan 17, 1984 in MS
Enrollment address
2716 W Oxford Loop
Ste 171
Oxford, MS 38655-5722

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Lewis Errol Davis
Individual
Corporate Director Jan 1, 2002
Tim Watson
Individual
Corporate Director Oct 1, 2017
Anthony L Farese
Individual
Corporate Director Oct 1, 2017
Bonnie B Martindale
Individual
Corporate Officer
Board Member
Jan 1, 2019
William H Stone
Individual
Corporate Officer
Ceo
Jul 24, 2023
Corporate Director
Ceo
Jul 24, 2023
W-2 Managing Employee
Ceo
Jul 24, 2023
Operational/Managerial Control
Ceo
Jul 24, 2023
Frederick Steve Bostick
Individual
Corporate Director Jan 1, 1998
Willie R Daugherty
Individual
Corporate Director Aug 1, 2018
Shelley M Akins
Individual
Corporate Director Aug 1, 2018
Gary Dunnam
Individual
Corporate Director Oct 1, 2017
Jackie L McKenzie
Individual
Corporate Director Oct 1, 2017
Mary Tucker
Individual
Corporate Director Jan 1, 2000

All facility ownership & control disclosures 8

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

FacilityTypeRoleSince
Corinth Community Health Center
Corinth, MS · CCN 251937
Federally qualified health center Other Sep 1, 2004
Ripley Health Care Associates
Ripley, MS · CCN 251867
Federally qualified health center Operational/Managerial Control May 1, 1985
Booneville Community Health Center
Booneville, MS · CCN 251877
Federally qualified health center Operational/Managerial Control Jan 4, 2001
Walnut Medical Center
Walnut, MS · CCN 251853
Federally qualified health center Operational/Managerial Control (100%) Sep 14, 1995
New Albany Health Care Associates
New Albany, MS · CCN 251042
Federally qualified health center Operational/Managerial Control (100%) May 19, 2016
Charger Health and Wellness
Oxford, MS · CCN 251116
Federally qualified health center Operational/Managerial Control (100%) May 1, 1985
Ashland Multispecialty Telehealth and Administration Building
Ashland, MS · CCN 251167
Federally qualified health center Operational/Managerial Control (100%) May 1, 1985
Nmphc Holly Springs
Holly Springs, MS · CCN 251168
Federally qualified health center Operational/Managerial Control (100%) May 1, 1985

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100414000677 MS Part B Supplier - Clinic/Group Practice 3274513528 Receives reassigned benefits from 41 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ashland, MS; Walnut, MS; Oxford, MS; Holly Springs, MS
O20190625001434 MS Part a Provider - Federally Qualified Health Center (FQHC) 3274513528 Practice locations: Oxford, MS

National Provider Directory

Tax ID family
North Benton Cty HLTH C (16 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

2716 W Oxford Loop Ste 171
Oxford, MS 38655-5722

Mailing address

PO Box 92
Ashland, MS 38603-0092
Phone (662) 224-8951

Other names

  • OXFORD HEALTH CARE ASSOCIATES Doing business as

Other providers in Oxford, MS

All providers in Oxford, MS · Federally Qualified Health Center (FQHC) in Mississippi

Sources for this page

Verify at the official NPI Registry.