NPIMap

Organization Active NPI

Tippah County Hospital

Doing business as Tippah Care Walnut

  • Family Medicine Physician
  • Walnut, MS
National Provider Identifier
1124823521
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TIPPAH COUNTY HOSPITAL
Doing business as
Tippah Care Walnut
Practice address
28301 Highway 15
Walnut, MS 38683-9753
Phone
(662) 837-9221
NPI assigned
Feb 18, 2025
Last updated
Feb 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TIPPAH COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Patrick S Chapman
Title
Ceo
Phone
(662) 837-2143

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

28301 Highway 15
Walnut, MS 38683-9753

Mailing address

PO Box 499
Ripley, MS 38663-0499
Phone (662) 837-9221

Other names 1

  • Tippah Care Walnut Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051212000167 MS Part B Supplier - Clinic/Group Practice 5193746709 Receives reassigned benefits from 47 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ripley, MS; Walnut, MS

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Tax ID family
Tippah County Hospital11 organizations share this tax ID, including this one
Part of
Tippah County Hospital

Other organizations with this tax ID 10

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

Locations

1009 City Ave N
Ripley, MS 38663
Phone (662) 539-7444

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/tippah-ba3c06de

Practitioners & affiliated clinicians

Practitioners 47

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 47

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1124823521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 499",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386630499",
            "telephone_number": "662-837-9221",
            "fax_number": "662-837-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28301 HIGHWAY 15",
            "city": "WALNUT",
            "state": "MS",
            "postal_code": "386839753",
            "telephone_number": "662-837-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIPPAH COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TIPPAH COUNTY HOSPITAL",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-837-2143"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tippah Care Walnut",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.