Active NPI
State of Mississippi - University of Mississippi Medical Center
Doing business as Merit Health Madison
- General Acute Care Hospital
- Canton, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 16243
- Legal business name
- STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
- Doing business as
- Merit Health Madison
UMMC - Madison - Practice address
- 161 River Oaks Drive
Canton, MS 39046-5375 - Phone
- (601) 496-5500
- Fax
- (601) 855-5100
- NPI assigned
- May 24, 2006
- Last updated
- Feb 20, 2026
- Organization subpart
- Yes
- Parent organization
- STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Grimsley
- Title
- Associate Cfo
- Phone
- (601) 815-6270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 16243 | MS | Primary |
Addresses
Primary practice location
161 River Oaks Drive
Canton, MS 39046-5375
Mailing address
504 Clinton Center Dr Ste 4100
Clinton, MS 39056-5610
Phone (601) 815-6381
Other names 2
- Merit Health Madison
- UMMC - Madison
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250828003960 | MS | Part A Provider - Hospital | 1850293036 | Practice locations: Canton, MS |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1194770404. Details of each certification follow.
Hospital certification: CCN 250038
- Legal name
- STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
- Doing business as
- UMMC MADISON
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Feb 11, 2017
- Beds
- 67
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- May 1, 2025 (2 total)
- Organization structure
- Government
- Enrollment address
- 161 River Oaks Dr
Canton, MS 39046-5375 - Hospital subgroups
- Acute care
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Merit Health Madison
- Medicare Defined Swing Bed Hospital Unit
- Canton, MS
- NPI 1326075193
Other NPIs with the same Medicare PAC ID 22
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
1850293036
-
dba Holmes Family Medical Clinic
- Rural Health Clinic/Center
- West, MS
- NPI 1194738393
1850293036
-
dba UMMC Greenwood Women's Clinic
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1225800428
1850293036
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
1850293036
-
- Clinic/Center
- Jackson, MS
- NPI 1245818301
1850293036
-
dba Children's of Mississippi Greenwood Clinic
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1295507333
1850293036
-
dba Merit Health Madison
- Medicare Defined Swing Bed Hospital Unit
- Canton, MS
- NPI 1326075193
1850293036
-
dba UMMC Greenwood Primary Care Clinic
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1336911536
1850293036
-
dba Holmes County Hospital and Clinic
- Critical Access Hospital
- Lexington, MS
- NPI 1386630705
1850293036
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jackson, MS
- NPI 1477734689
1850293036
-
dba Holmes Family Medical Clinic
- Rural Health Clinic/Center
- Lexington, MS
- NPI 1538179585
1850293036
-
dba Holmes County Hospital and Clinic
- Medicare Defined Swing Bed Hospital Unit
- Lexington, MS
- NPI 1700872173
1850293036
Care Compare: Hospital
Medicare Care Compare- Listed as
- Merit Health Madison
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Sigurds O Krolls MD
- Part of
- Sigurds O Krolls MD
Organizations with this tax ID in the same state 16
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Skilled Nursing Facility
- Durant, MS
- NPI 1295810901
-
- Community/Retail Pharmacy
- Ridgeland, MS
- NPI 1093562167
-
- Pediatric Skilled Nursing Facility
- Jackson, MS
- NPI 1114727385
-
dba UMMC Greenwood Women's Clinic
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1225800428
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Clinic/Center
- Jackson, MS
- NPI 1245818301
-
dba University Physicians Belhaven
- Ambulatory Surgical Clinic/Center
- Jackson, MS
- NPI 1255883690
-
dba Children's of Mississippi Greenwood Clinic
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1295507333
-
dba UMC Medical Mall
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jackson, MS
- NPI 1194930693
-
dba Midtown Mobile Clinic
- Clinic/Center
- Jackson, MS
- NPI 1285126029
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1255768180
-
dba University of Miss Medical
- Rehabilitation Hospital
- Jackson, MS
- NPI 1306122536
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Rehabilitation Hospital Unit
- Jackson, MS
- NPI 1699761064
Member Of
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jeffrey G Grimsley | W-2 Managing Employee | May 1, 2025 | |
| State of Mississippi-University of Mississippi Medical Center | 5% Or Greater Direct Ownership Interest | May 1, 2025 | 100% |
| Britton Phelps | W-2 Managing Employee | May 1, 2025 | |
| Dodie McElmurray | W-2 Managing Employee | May 1, 2025 |
Owners & managing parties with NPI records 22
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
5% Or Greater Direct Ownership Interest
-
dba Holmes Family Medical Clinic
- Rural Health Clinic/Center
- West, MS
- NPI 1194738393
5% Or Greater Direct Ownership Interest
-
dba UMMC Greenwood Women's Clinic
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1225800428
5% Or Greater Direct Ownership Interest
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
5% Or Greater Direct Ownership Interest
-
- Clinic/Center
- Jackson, MS
- NPI 1245818301
5% Or Greater Direct Ownership Interest
-
dba Children's of Mississippi Greenwood Clinic
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1295507333
5% Or Greater Direct Ownership Interest
-
dba Merit Health Madison
- Medicare Defined Swing Bed Hospital Unit
- Canton, MS
- NPI 1326075193
5% Or Greater Direct Ownership Interest
-
dba UMMC Greenwood Primary Care Clinic
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1336911536
5% Or Greater Direct Ownership Interest
-
dba Holmes County Hospital and Clinic
- Critical Access Hospital
- Lexington, MS
- NPI 1386630705
5% Or Greater Direct Ownership Interest
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jackson, MS
- NPI 1477734689
5% Or Greater Direct Ownership Interest
-
dba Holmes Family Medical Clinic
- Rural Health Clinic/Center
- Lexington, MS
- NPI 1538179585
5% Or Greater Direct Ownership Interest
-
dba Holmes County Hospital and Clinic
- Medicare Defined Swing Bed Hospital Unit
- Lexington, MS
- NPI 1700872173
5% Or Greater Direct Ownership Interest
All facility ownership & control disclosures 14
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| State of Mississippi-University of Mississippi Medical Center | Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Jul 1, 2007 Jul 1, 2007 |
| University of Mississi Medical Center- Holmes County | Hospital | 5% Or Greater Direct Ownership Interest | Jan 1, 2004 |
| Holmes County Hospital & Clinics | Hospital | 5% Or Greater Direct Ownership Interest | Oct 1, 2004 |
| Ummc- Grenada | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Feb 21, 2014 Feb 21, 2014 |
| Ummc Madison | Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2025 |
| Lexington Rural Health Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest | May 23, 2013 |
| West Rural Health Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest | May 22, 2013 |
| Ummc- Grenada Women's Services | Rural health clinic | 5% Or Greater Direct Ownership Interest | Jan 1, 2014 |
| Holmes County Family Medicine Clinic- Vaiden | Rural health clinic | 5% Or Greater Direct Ownership Interest | Oct 1, 2016 |
| Ummc Grenada Specialty Pediatrics | Rural health clinic | 5% Or Greater Direct Ownership Interest | Jan 1, 2014 |
| Children's of Mississippi Greenwood Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest | Oct 1, 2023 |
| Ummc Greenwood Primary Care Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest | Oct 1, 2023 |
| Ummc Greenwood Women's Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest | Oct 1, 2023 |
| Ummc Grenada Primary Medicine Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest | Oct 1, 2023 |
Owned or controlled facilities with NPI records 15
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Holmes Family Medical Clinic
- Rural Health Clinic/Center
- West, MS
- NPI 1194738393
5% Or Greater Direct Ownership Interest
-
dba UMMC Greenwood Women's Clinic
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1225800428
5% Or Greater Direct Ownership Interest
-
dba Children's of Mississippi Greenwood Clinic
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1295507333
5% Or Greater Direct Ownership Interest
-
dba Merit Health Madison
- Medicare Defined Swing Bed Hospital Unit
- Canton, MS
- NPI 1326075193
5% Or Greater Direct Ownership Interest
-
dba UMMC Greenwood Primary Care Clinic
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1336911536
5% Or Greater Direct Ownership Interest
-
dba Holmes County Hospital and Clinic
- Critical Access Hospital
- Lexington, MS
- NPI 1386630705
5% Or Greater Direct Ownership Interest
-
dba Holmes Family Medical Clinic
- Rural Health Clinic/Center
- Lexington, MS
- NPI 1538179585
5% Or Greater Direct Ownership Interest
-
dba Holmes County Hospital and Clinic
- Medicare Defined Swing Bed Hospital Unit
- Lexington, MS
- NPI 1700872173
5% Or Greater Direct Ownership Interest
-
dba UMMC Grenada Primary Medicine Clinic
- Rural Health Clinic/Center
- Grenada, MS
- NPI 1881466910
5% Or Greater Direct Ownership Interest
-
- Rural Health Clinic/Center
- Vaiden, MS
- NPI 1841727971
5% Or Greater Direct Ownership Interest
-
dba University of Mississippi Center - Grenada Psych
- Psychiatric Hospital
- Grenada, MS
- NPI 1083041917
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Facilities with the same owner 14
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
State of Mississippi-University of Mississippi Medical Center
-
dba Holmes Family Medical Clinic
- Rural Health Clinic/Center
- West, MS
- NPI 1194738393
State of Mississippi-University of Mississippi Medical Center
-
dba UMMC Greenwood Women's Clinic
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1225800428
State of Mississippi-University of Mississippi Medical Center
-
dba Children's of Mississippi Greenwood Clinic
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1295507333
State of Mississippi-University of Mississippi Medical Center
-
dba Merit Health Madison
- Medicare Defined Swing Bed Hospital Unit
- Canton, MS
- NPI 1326075193
State of Mississippi-University of Mississippi Medical Center
-
dba UMMC Greenwood Primary Care Clinic
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1336911536
State of Mississippi-University of Mississippi Medical Center
-
dba Holmes County Hospital and Clinic
- Critical Access Hospital
- Lexington, MS
- NPI 1386630705
State of Mississippi-University of Mississippi Medical Center
-
dba Holmes Family Medical Clinic
- Rural Health Clinic/Center
- Lexington, MS
- NPI 1538179585
State of Mississippi-University of Mississippi Medical Center
-
dba Holmes County Hospital and Clinic
- Medicare Defined Swing Bed Hospital Unit
- Lexington, MS
- NPI 1700872173
State of Mississippi-University of Mississippi Medical Center
-
dba UMMC Grenada Primary Medicine Clinic
- Rural Health Clinic/Center
- Grenada, MS
- NPI 1881466910
State of Mississippi-University of Mississippi Medical Center
-
- Rural Health Clinic/Center
- Vaiden, MS
- NPI 1841727971
State of Mississippi-University of Mississippi Medical Center
-
dba University of Mississippi Center-Grenada
- General Acute Care Hospital
- Grenada, MS
- NPI 1558798603
State of Mississippi-University of Mississippi Medical Center
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Family Medicine Physician
- Bay St Louis, MS
- NPI 1194188722
-
- Cardiovascular Disease Physician
- Jackson, MS
- NPI 1548423023
-
- Family Medicine Physician
- Morton, MS
- NPI 1568662393
-
- Family Medicine Physician
- Clinton, MS
- NPI 1770783672
-
- Family Medicine Physician
- Hattiesburg, MS
- NPI 1457513376
-
- Family Medicine Physician
- Jackson, MS
- NPI 1841284478
-
- Internal Medicine Physician
- Franklin, TN
- NPI 1578192019
-
- Family Medicine Physician
- Monroe, LA
- NPI 1073831749
Affiliated clinicians 186
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Anatomic Pathology & Clinical Pathology Physician
- Jackson, MS
- NPI 1407378961
Hospital
-
- Anatomic Pathology & Clinical Pathology Physician
- Jackson, MS
- NPI 1700298411
Hospital
-
- Anatomic Pathology & Clinical Pathology Physician
- Jackson, MS
- NPI 1164945846
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771545600000",
"number": "1194770404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 CLINTON CENTER DR STE 4100",
"city": "CLINTON",
"state": "MS",
"postal_code": "390565610",
"telephone_number": "601-815-6381",
"fax_number": "601-855-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 RIVER OAKS DRIVE",
"city": "CANTON",
"state": "MS",
"postal_code": "390465375",
"telephone_number": "601-496-5500",
"fax_number": "601-855-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER",
"enumeration_date": "2006-05-24",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A",
"authorized_official_last_name": "GRIMSLEY",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "ASSOCIATE CFO",
"authorized_official_telephone_number": "601-815-6270"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "MS",
"license": "16243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Merit Health Madison",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "UMMC - Madison",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Canton, MS
- Percy L Smith Jr., PA
- Rachel Nicole Smith
- Latoya Sojourney, FNP
- Judith Stallings, NP
- Shadekra Stasher
- State of Mississippi - University of Mississippi Medical Center (Merit Health Madison)
- State of Mississippi - University of Mississippi Medical Center
- Erin Stradley
- Devan Lamonte Strange Jr.
- Jason R Strong, PHARM D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.