NPIMap

Organization Active NPI

East Central Mississippi Health Care, Inc.

Doing business as Newton Health Care

  • Federally Qualified Health Center (FQHC)
  • Newton, MS
National Provider Identifier
1184090482
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
EAST CENTRAL MISSISSIPPI HEALTH CARE, INC.
Doing business as
Newton Health Care
Practice address
9431 Eastside Drive Ext
Suite E
Newton, MS 39345-8074
Phone
(601) 635-3435
Fax
(601) 635-3438
NPI assigned
Aug 20, 2015
Last updated
Apr 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Mrs. Jill Bishop
Title
Ceo
Phone
(601) 625-7140

Specialties & licenses 1

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

Addresses

Primary practice location

9431 Eastside Drive Ext
Suite E
Newton, MS 39345-8074

Mailing address

PO Box 142
Sebastopol, MS 39359-0142

Other names 1

  • Newton Health Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040129000363 MS Part B Supplier - Clinic/Group Practice 0941103717 Receives reassigned benefits from 17 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sebastopol, MS; Walnut Grove, MS; Philadelphia, MS; Newton, MS
O20151231001722 MS Part A Provider - Federally Qualified Health Center (FQHC) 0941103717 Practice locations: Newton, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184090482. Details of each certification follow.

Federally qualified health center certification: CCN 251031

Legal name
EAST CENTRAL MISSISSIPPI HEALTH CARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 16, 2015
Last certification
Dec 16, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 4, 1978 in MS
Enrollment address
9431 Eastside Drive Ext, Ste E
Newton, MS 39345-8074

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
East CTRL Ms HLTH Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

9431 Eastside Drive Ext
Ste E
Newton, MS 39345
Phone (601) 635-3435

10330 Road 375
Philadelphia, MS 39350
Phone (601) 656-0226

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
East Central Mississippi Health Care Inc Organization, Sebastopol, MS Non-profit Operational/Managerial Control Aug 20, 2015 100%
Margie Hughes Individual Corporate Officer May 1, 2015
Bobbie Sanders Individual Corporate Officer Nov 1, 2008
Tammy McPhail Individual Operational/Managerial Control Oct 26, 2010
Justin McDill Individual Corporate Officer Oct 17, 2022
Delia Shepard Individual Corporate Officer May 1, 2008
Denise Hawkins Individual Corporate Officer Feb 1, 2011
Steve Duett Individual Corporate Officer Jun 1, 1999
Norman Carter Individual Corporate Officer May 1, 2008
Jill Bishop Individual Corporate DirectorCeo Apr 1, 2004 100%
Johnny Barnes Individual Corporate Officer Sep 16, 2013
Regina Gardner Individual Corporate Officer Apr 1, 2002

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1184090482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142",
            "city": "SEBASTOPOL",
            "state": "MS",
            "postal_code": "393590142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9431 EASTSIDE DRIVE EXT",
            "address_2": "SUITE E",
            "city": "NEWTON",
            "state": "MS",
            "postal_code": "393458074",
            "telephone_number": "601-635-3435",
            "fax_number": "601-635-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CENTRAL MISSISSIPPI HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-625-7140",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newton Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Newton Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, MS

Sources for this page

Verify at the official NPI Registry.