NPIMap

Organization Active NPI

Wayne General Hospital

  • Community Based Hospice Care Agency
  • Waynesboro, MS
National Provider Identifier
1215958780
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
WAYNE GENERAL HOSPITAL
Practice address
927 Wayne St
Waynesboro, MS 39367-2571
Phone
(601) 735-5500
Fax
(601) 735-5533
NPI assigned
Jul 21, 2006
Organization subpart
Yes
Parent organization
WAYNE GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
David Andrew PorterNPI 1043718398
Title
Ceo
Phone
(601) 735-5151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

927 Wayne St
Waynesboro, MS 39367-2571

Mailing address

927 Wayne St
Waynesboro, MS 39367-2571
Phone (601) 735-5500

Other names 1

  • WAYNE GENERAL HOSPICE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161007000017 MS Part A Provider - Hospice 2668457581 Practice locations: Waynesboro, MS

Hospice certification: CCN 251520

Legal name
WAYNE GENERAL HOSPITAL
Doing business as
WAYNE GENERAL HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 4, 1994
Last certification
Jan 28, 2021
Ownership / control type
Government - County
Organization structure
OtherNon-profit
Enrollment address
927 Wayne St
Waynesboro, MS 39367-2571

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Wayne General HospiceCCN 251520
Ownership
Government
Certified
May 4, 1994
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Arthur E Medical Clinic14 organizations share this tax ID, including this one
Part of
Arthur E Medical Clinic

Other organizations with this tax ID 13

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

View all 13

Locations

920 Matthew Dr
Ste 2
Waynesboro, MS 39367

927 Wayne St
Waynesboro, MS 39367
Phone (601) 735-5500

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Laura Barnett Individual Corporate OfficerTrustee Jan 1, 2023
James Redell Bonner Individual Corporate OfficerTrustee Jan 1, 2024
Martin Stadalis Individual Corporate OfficerTrustee Jan 1, 2001
Raymond Cooley Individual Corporate OfficerTrustee Jun 20, 2016
Lonnie Sanderson Individual Corporate OfficerTrustee Sep 7, 2021
David a Porter Individual Corporate OfficerCeo Sep 5, 2023
W-2 Managing EmployeeAd; Sep 5, 2023
William Daniel Pickering Individual Corporate OfficerTrustee Jan 1, 2025
Laura Kelley Individual Corporate OfficerTrustee Sep 19, 2019

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 5

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

FacilityTypeRoleSince
Wayne General HospitalWaynesboro, MS, CCN 250077 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 May 21, 1967
May 21, 1967
Wayne General HospitalWaynesboro, MS, CCN 25U077 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Aug 8, 1989
Aug 8, 1989
Wayne General HospitalWaynesboro, MS, CCN 257088 Home health agency 5% Or Greater Direct Ownership Interest (100%) Oct 1, 1978
Wayne General HospitalWaynesboro, MS, CCN 258546 Rural health clinic 5% Or Greater Direct Ownership Interest Sep 2, 2008
Wayne General School ClinicWaynesboro, MS, CCN 258652 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2021

Owned or controlled facilities with NPI records 5

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

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 48

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1215958780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 WAYNE ST",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672571",
            "telephone_number": "601-735-5500",
            "fax_number": "601-735-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 WAYNE ST",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672571",
            "telephone_number": "601-735-5500",
            "fax_number": "601-735-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAYNE GENERAL HOSPITAL",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-735-5151"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WAYNE GENERAL HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WAYNE GENERAL HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesboro, MS

Sources for this page

Verify at the official NPI Registry.