Forrest County General Hospital
Organization Active NPI General Acute Care Hospital · Hattiesburg, MS
NPI 1225041809 · NPPES record last updated Aug 21, 2024
Key facts
- NPI
- 1225041809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 11141 (MS)
- Legal business name
- FORREST COUNTY GENERAL HOSPITAL
- Practice address
- 6051 U S Highway 49
Hattiesburg, MS 39401-7200 - Phone
- (601) 288-7000
- Fax
- (601) 288-1875
- NPI assigned
- Aug 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Ben Hester
- Title
- Cfo
- Phone
- (601) 288-4225
Owners & managing parties with NPI records 24
Owned or controlled facilities with NPI records 16
Other NPIs on the same Medicare enrollment 19
Other NPIs with the same Medicare PAC ID 24
Corporate family (same tax ID) 40
Related certifications (CCN) 2
Facilities with the same owner 21
Practitioners 252
-
Karen H Bruce, M.D.
-
Jennifer H McAdory, PMHNP
-
Allison Radley, DO
-
Haylee Morse Zadrozny, LCSW
-
L. Wesley Aldred, M.D.
-
Roopsi Bassi, MD
-
Berthold Beisel, MD
-
Santo M Borganelli, MD FACC
-
Robert B Brahan, MD
-
Jefferson Buntin, N.P.
-
Christopher John Douglas, M.D.
-
Sara A Duncan, MSN, FNP-C
-
Daniel Edwards, M.D., PH.D.
-
Charles R. Griffith, M.D.
Affiliated clinicians 607
-
Ralph Sumner Abraham IV, M.D.
-
William Anthony Adcock, AGACNP
-
Mansoor Ahmad, MD
-
L. Wesley Aldred, M.D.
-
Elizabeth Allen, NP
-
Kristin Kay Anderson, DNP, FNP-C, ENP-C
-
Orlando J Andy, MD
-
James A Antinnes, M.D.,
-
Carla Mitchell Armstrong, M.D.
-
Tyler Griffin Armstrong, DNP, CRNA
-
Sriharsha C Athota, M.D.
-
Twylia M. Aultman, FNP-C
-
Deborah Tarpley Azar, M. D.
-
Brian Alan Bailey, DNP, CRNA
-
Humayun Bakhtawar, M.D.
Medicare Care Compare: Hospital
- Listed as
- Forrest General Hospital
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MS
Hospital certification: CCN 250078
- Legal name
- FORREST COUNTY GENERAL HOSPITAL
- Doing business as
- THE ORTHOPEDIC INSTITUTE
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jun 29, 1989
- Last certification
- Jul 18, 2019
- Beds
- 537
- Ownership / control type
- Local
- Organization structure
- Other · Non-profit
- Enrollment address
- 6051 U S Highway 49
Hattiesburg, MS 39401-7200 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Forrest County General Hospital |
5% Or Greater Direct Ownership Interest | Jul 15, 1952 | |
| Evan S Dillard |
Corporate Director |
Mar 31, 2008 | |
| James Lynn Cartlidge |
Corporate Director | Jan 24, 2012 | |
| Richard Andy Woodard |
Corporate Director |
Oct 1, 2009 | |
| W-2 Managing Employee | Sep 19, 2007 | ||
| John M Keene |
Corporate Director | Jan 1, 2010 | |
| Ben R Hester |
Corporate Director |
Aug 1, 2015 | |
| W-2 Managing Employee |
Aug 1, 2015 | ||
| Forrest County Board of Superviors |
5% Or Greater Direct Ownership Interest | Jan 1, 1966 | 100% |
| Marcus L Hogan |
Corporate Director | Jan 1, 2010 | |
| Richard W Preusch |
Corporate Officer | Jan 1, 2001 | |
| Corporate Director | Jan 1, 2001 |
All facility ownership & control disclosures 16
| Facility | Type | Role | Since |
|---|---|---|---|
| Highland Community Hospital |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
May 1, 2006 May 1, 2006 |
| Marion General Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| Marion General Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| Jefferson Davis Community Hospital Swing Bed |
Hospital | Operational/Managerial Control (100%) | Jul 1, 2011 |
| Pearl River County Hospital and Nursing Home |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2020 Feb 1, 2020 |
| Pearl River County Hospital Swing Bed |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2020 Feb 1, 2020 |
| Jefferson Davis Extended Care Facility |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| Pearl River County Hospital and Nursing Home |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2020 Feb 1, 2020 |
| Forrest General Home Care of Marion General |
Home health agency | 5% Or Greater Direct Ownership Interest | Jan 1, 2012 |
| Jefferson Davis Rural Health Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Jul 1, 2011 Jul 1, 2011 |
| Marion County General Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2014 Oct 1, 2007 |
| Highland Pediatric and Primary Care Rural Health Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 1, 2018 Dec 1, 2018 |
| Forrest County General Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2020 Feb 1, 2020 |
| Highland Center for Women'S Health |
Rural health clinic | Operational/Managerial Control | Aug 13, 2017 |
| Forrest County General Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2022 |
| Highland Family Medicine Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2022 Jun 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040624001351 | MS | Part B Supplier - Clinic/Group Practice | 1052397767 |
Receives reassigned benefits from 246 practitioners 21 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Prentiss, MS; Poplarville, MS; Hattiesburg, MS; Picayune, MS; Laurel, MS; Columbia, MS |
| O20071215000024 | MS | Part a Provider - Hospital | 1052397767 | Practice locations: Columbia, MS; Hattiesburg, MS; Laurel, MS |
National Provider Directory
- Tax ID family
- Forrest County Gen Hospital
Locations
27 Southern Point Pkwy
Hattiesburg, MS 39401
Phone (601) 288-2892
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 11141 | MS | Yes |
Addresses
Primary practice location
6051 U S Highway 49
Hattiesburg, MS 39401-7200
Mailing address
6051 U S Highway 49
Hattiesburg, MS 39401-7200
Phone (601) 288-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00020007 | Medicaid | MS |
Other providers in Hattiesburg, MS
- Victoria Ashley Ford
- Courtney Marie Foret-Chiasson
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
All providers in Hattiesburg, MS · General Acute Care Hospital in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.