NPIMap

Organization Active NPI

Anderson Regional Medical Center

Doing business as Baptist Anderson Regional Medical Center-South

  • General Acute Care Hospital
  • Meridian, MS
National Provider Identifier
1215233986
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
12249 Issued in MS
Legal business name
ANDERSON REGIONAL MEDICAL CENTER
Doing business as
Baptist Anderson Regional Medical Center-South
Practice address
1102 Constitution Ave
Meridian, MS 39301-4001
Phone
(601) 693-2511
Fax
(601) 484-3130
NPI assigned
Jan 28, 2011
Last updated
Aug 16, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ANDERSON REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Gregory M Duckett
Title
Sr VP / Clo
Phone
(901) 227-5233

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Multi-Specialty Clinic/Center 261QM1300X
General Acute Care Hospital 282N00000X 12249 MS Primary
Obstetrics & Gynecology Physician 207V00000X

Addresses

Primary practice location

1102 Constitution Ave
Meridian, MS 39301-4001

Mailing address

2124 14TH St
Meridian, MS 39301-4040
Phone (601) 553-6000

Other names 1

  • Baptist Anderson Regional Medical Center-South Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031117000522 MS Part B Supplier - Clinic/Group Practice 4284548025 Receives reassigned benefits from 40 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Enterprise, MS; Philadelphia, MS; Meridian, MS
O20110322000241 MS Part A Provider - Hospital 4284548025 Practice locations: Meridian, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215233986. Details of each certification follow.

Hospital certification: CCN 250081

Legal name
ANDERSON REGIONAL MEDICAL CENTER
Doing business as
BAPTIST ANDERSON REGIONAL MEDICAL CENTER - SOUTH
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 24, 1967
Last certification
Nov 3, 2005
Beds
140
Ownership / control type
Private (for profit)
Most recent change of ownership
Jan 1, 2011 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Apr 23, 1928 in MS
Enrollment address
1102 Constitution Ave
Meridian, MS 39301-4001
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 10

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

Other NPIs on the same Medicare enrollment 7

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Anderson Regional Medical Center South CampusCCN 250081 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Jeff Anderson Reg Med C

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Jason M Little Individual Corporate OfficerPresident Bmhcc Jan 1, 2024
Operational/Managerial ControlPresident / Ceo Jan 1, 2024
James Grantham Individual Corporate DirectorMember of the Board Jan 1, 2024
Operational/Managerial ControlMember of the Board Jan 1, 2024
Wilbur G Wilkinson Individual Corporate OfficerVice Chairman of the Board Jan 1, 2024
Corporate DirectorMember of the Board Jan 1, 2024
Operational/Managerial ControlMember of the Board Jan 1, 2024
Joseph M Anderson Individual Corporate OfficerChairman of the Board Jan 1, 2024
Corporate DirectorChairman of the Board Jan 1, 2024
Operational/Managerial ControlChairman of the Board Jan 1, 2024
David Vowell Individual Corporate DirectorMember of the Board Jan 1, 2011
Operational/Managerial ControlMember of the Board Jan 1, 2024
John G Anderson Individual Corporate Officer Jan 1, 2024
W-2 Managing EmployeeAdministrator Jul 28, 2011
Operational/Managerial ControlAdministrator Jan 1, 2024
Arthur Maples Individual W-2 Managing EmployeeDir. Reg. Planning/Policy @ P Jan 1, 2024
Janet G Farrington Individual Corporate DirectorMember of the Board Jan 1, 2011
Operational/Managerial ControlMember of the Board Jan 1, 2024
Anderson Regional Medical Center Organization, Meridian, MS Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Gregory M Duckett Individual Corporate OfficerSecretary Jan 1, 2024
Corporate DirectorMember of the Board Jan 1, 2024
Operational/Managerial ControlMember of the Board Jan 1, 2024
Kimberly Young Individual Corporate DirectorCorporate Officer Jan 1, 2024
Baptist Memorial Health Care Corporation Organization, Memphis, TN Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jan 1, 2024 100%
Operational/Managerial Control Jan 1, 2024 100%
Shawn Shawn Anderson Individual Corporate DirectorMember of the Board Jan 1, 2011
Operational/Managerial ControlMember of the Board Jan 1, 2024
Brad Huff Individual Corporate DirectorMember of the Board Mar 1, 2020
Operational/Managerial ControlMember of the Board Jan 1, 2024

Owners & managing parties with NPI records 11

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

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
Anderson Regional Medical CenterMeridian, MS, CCN 250104 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1966
Jan 1, 2024
Baptist Anderson Tom C. Maynor Rehabilitation CenterMeridian, MS, CCN 25T081 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Baptist Anderson Senior Behavioral Health CenterMeridian, MS, CCN 25S081 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2011
Jan 1, 2001
Baptist Anderson Swing Bed UnitMeridian, MS, CCN 25U081 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2011
Baptist Anderson Family Medical Center- EnterpriseEnterprise, MS, CCN 258588 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2011
Jan 1, 2011
Baptist Anderson Children's Medical CenterMeridian, MS, CCN 258584 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2011
Baptist Anderson Family Medical Center- AirparkPhiladelphia, MS, CCN 258587 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2011

Owned or controlled facilities with NPI records 7

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

Facilities with the same owner 47

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

View all 47

Practitioners & affiliated clinicians

Practitioners 10

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 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1215233986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 14TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014040",
            "telephone_number": "601-553-6000",
            "fax_number": "601-553-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 CONSTITUTION AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014001",
            "telephone_number": "601-693-2511",
            "fax_number": "601-484-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANDERSON REGIONAL MEDICAL CENTER",
        "enumeration_date": "2011-01-28",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR VP / CLO",
        "authorized_official_telephone_number": "901-227-5233"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MS",
            "license": "12249",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Anderson Regional Medical Center-South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.