NPIMap

Organization Active NPI

George County Hospital

Doing business as Greene Rural Health Care

  • Skilled Nursing Facility
  • Leakesville, MS
National Provider Identifier
1205017977
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GEORGE COUNTY HOSPITAL
Doing business as
Greene Rural Health Care
Greene Rural Health Center
Practice address
1017 Jackson Ave
Leakesville, MS 39451-9105
Phone
(601) 394-2371
Fax
(601) 394-5495
NPI assigned
Nov 21, 2007
Last updated
Jun 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Mr. Greg Havard
Title
Ceo
Phone
(601) 947-9148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1017 Jackson Ave
Leakesville, MS 39451-9105

Mailing address

1017 Jackson Ave
Leakesville, MS 39451-9105
Phone (601) 394-2371

Other names 2

  • Greene Rural Health Care Doing business as
  • Greene Rural Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080717000598 MS Part A Provider - Skilled Nursing Facility 1658444039 Practice locations: Leakesville, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205017977. Details of each certification follow.

Skilled nursing facility certification: CCN 255277

Legal name
GEORGE COUNTY HOSPITAL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 2001
Last certification
Oct 10, 2024
Beds
60
Ownership / control type
County
Multi-facility organization
George Regional Health Systems
Organization structure
OtherNon-profit
Incorporated
Sep 1, 1950 in MS
Enrollment address
1017 Jackson Ave
Leakesville, MS 39451-9105
Nursing home name
GREENE COUNTY HEALTH AND REHABILITATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Greene County Health and RehabilitationCCN 255277 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Sep 1, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6051.2 residents per day on average
Penalties (3 years)
1Fines totaling $8,788

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in 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
Rebecca H Shelton Individual Corporate Director Oct 1, 2000
Adp of the SNF Aug 1, 2008
Gina B Turner Individual Operational/Managerial Control May 15, 2009
Adp of the SNF May 15, 2019
Michael S Huber Individual Adp of the SNF Jan 1, 2020
Long Term Care Management LLC Organization, Jackson, MS Management services company Operational/Managerial Control Nov 1, 2008
Adp of the SNF Jan 29, 2025
Greg Havard Individual Corporate OfficerChief Executive Officer Feb 1, 2015 85%

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
George Regional Health and RehabLucedale, MS, CCN 255333 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2011

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1205017977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 JACKSON AVE",
            "city": "LEAKESVILLE",
            "state": "MS",
            "postal_code": "394519105",
            "telephone_number": "601-394-2371",
            "fax_number": "601-394-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 JACKSON AVE",
            "city": "LEAKESVILLE",
            "state": "MS",
            "postal_code": "394519105",
            "telephone_number": "601-394-2371",
            "fax_number": "601-394-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "HAVARD",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-947-9148",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greene Rural Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greene Rural Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leakesville, MS

Sources for this page

Verify at the official NPI Registry.