NPIMap

Organization Active NPI

Marion Regional Health - Winfield, Inc.

Doing business as South Marion Primary Care Clinic-Sulligent

  • Rural Health Clinic/Center
  • Sulligent, AL
National Provider Identifier
1194513986
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MARION REGIONAL HEALTH - WINFIELD, INC.
Doing business as
South Marion Primary Care Clinic-Sulligent
Practice address
1390 Walnut St
Sulligent, AL 35586-3841
Phone
(205) 698-7111
Fax
(205) 698-0516
NPI assigned
Apr 30, 2025
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Bruce Toppin
Title
Corporate Secretary
Phone
(662) 377-4229

Specialties & licenses 1

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

Addresses

Primary practice location

1390 Walnut St
Sulligent, AL 35586-3841

Mailing address

808 Varsity Dr
Tupelo, MS 38801-4613
Phone (662) 377-3868

Other names 1

  • South Marion Primary Care Clinic-Sulligent Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20251024003234 AL Part B Supplier - Clinic/Group Practice 5193213650 Receives reassigned benefits from 19 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sulligent, AL; Winfield, AL
O20251124004013 AL Part A Provider - Rural Health Clinic 5193213650 Practice locations: Sulligent, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194513986. Details of each certification follow.

Rural health clinic certification: CCN 013970

Legal name
MARION REGIONAL HEALTH - WINFIELD, INC.
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 17, 2012
Last certification
Dec 10, 2025
Ownership / control type
2B
Most recent change of ownership
Jan 1, 2015 (1 total)
Organization structure
CorporationNon-profit
Enrollment address
1390 Walnut St
Sulligent, AL 35586-3841

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 6

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

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
01D0973443Dba South Marion Primary Care Clinic-Sulligent1390 Walnut Street, Sulligent, AL 35586RegistrationSep 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Marion Regional Health - Winfield Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Northwest Medical Center Inc. Organization, Tupelo, MS Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest May 1, 2025 100%
Operational/Managerial Control May 1, 2025
Bruce J Toppin Individual Corporate OfficerCorporate Secretary May 1, 2025
Corporate DirectorCorporate Secretary May 1, 2025
Cathy a. Mitchell Individual W-2 Managing EmployeeAd; May 1, 2025
Sharon D Nobles Individual Corporate OfficerTreasurer May 1, 2025
Corporate DirectorTreasurer May 1, 2025
Michael S Spees Individual Corporate OfficerCeo May 1, 2025
Corporate DirectorCeo May 1, 2025

Change-of-ownership history 1

DateEventCounterparty
May 1, 2025 Change of OwnershipThis provider was the buyer Sulligent Medical ClinicCCN 013970, AL, NPI 1225315468

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1194513986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 VARSITY DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014613",
            "telephone_number": "662-377-3868",
            "fax_number": "662-377-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 WALNUT ST",
            "city": "SULLIGENT",
            "state": "AL",
            "postal_code": "355863841",
            "telephone_number": "205-698-7111",
            "fax_number": "205-698-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION REGIONAL HEALTH - WINFIELD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "TOPPIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "662-377-4229"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Marion Primary Care Clinic-Sulligent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sulligent, AL

Sources for this page

Verify at the official NPI Registry.