NPIMap

Organization Active NPI

Forrest County General Hospital

Doing business as Jefferson Davis General Hospital

  • Critical Access Hospital
  • Prentiss, MS
National Provider Identifier
1295013316
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
16179 Issued in MS
Legal business name
FORREST COUNTY GENERAL HOSPITAL
Doing business as
Jefferson Davis General Hospital
Practice address
1102 Rose St
Prentiss, MS 39474-5200
Phone
(601) 792-4276
Fax
(601) 792-2947
NPI assigned
Jul 22, 2011
Last updated
Sep 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2017

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

Authorized official

Name
Ben Hester
Title
Chief Financial Officer
Phone
(601) 288-4225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 16179 MS Primary

Addresses

Primary practice location

1102 Rose St
Prentiss, MS 39474-5200

Mailing address

1102 Rose St
Prentiss, MS 39474-5200
Phone (601) 792-4276

Other names 1

  • Jefferson Davis General Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120416000746 MS Part A Provider - Critical Access Hospital 1052397767 Practice locations: Prentiss, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295013316. Details of each certification follow.

Hospital certification: CCN 251326

Legal name
FORREST COUNTY GENERAL HOSPITAL
Doing business as
JEFFERSON DAVIS GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 2006
Last certification
Sep 11, 2025
Beds
35 (29 certified)
Ownership / control type
Local
Most recent change of ownership
Jul 1, 2011 (1 total)
Organization structure
OtherNon-profit
Enrollment address
1102 Rose Street
Prentiss, MS 39474-5200
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 24

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

View all 24

Care Compare: Hospital

Medicare Care Compare
Listed as
Jefferson Davis Community Hospital CahCCN 251326 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Forrest Cty Gen Hosp41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

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
Erik Steele Individual Corporate OfficerBoard Vice Chairman District 4 Jun 1, 2017
Corporate DirectorBoard Vice-Chairman District 4 Jun 1, 2017
Lewis E Hatten Individual Corporate OfficerBoard Member District 1 Jun 1, 2025
Corporate DirectorBoard Member District 1 Jun 1, 2025
Ben R Hester Individual Corporate DirectorCfo Aug 1, 2015
W-2 Managing EmployeeCfo Aug 1, 2015
Operational/Managerial ControlCfo Aug 1, 2015
Peggy Answorth Individual Corporate OfficerBoard Secretary District 2 Apr 1, 2023
Corporate DirectorBoard Secretary District 2 Apr 1, 2023
Andrew B. Mercier Individual Corporate OfficerBoard Member District 5 Jun 1, 2024
Corporate DirectorBoard Member District 5 Jun 1, 2024
Shea McNease Individual Corporate OfficerBoard Member at Large Aug 1, 2024
Corporate DirectorBoard Member at Large Aug 1, 2024
Jana Causey Individual Corporate OfficerBoard Chairman District 3 Jun 1, 2023
Corporate DirectorBoard Chairman District 3 Jun 1, 2023
Harry Chip McArthur Individual Corporate OfficerBoard Member at Large Aug 1, 2024
Corporate DirectorBoard Member at Large Aug 1, 2024

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 17

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

FacilityTypeRoleSince
Highland Community HospitalPicayune, MS, CCN 250117 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 May 1, 2006
May 1, 2006
The Orthopedic InstituteHattiesburg, MS, CCN 250078 Hospital 5% Or Greater Direct Ownership Interest Jul 15, 1952
Marion General HospitalColumbia, MS, CCN 250085 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Marion General HospitalColumbia, MS, CCN 25U085 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Jefferson Davis Community Hospital Swing BedPrentiss, MS, CCN 25Z326 Hospital Operational/Managerial Control (100%) Jul 1, 2011
Pearl River County Hospital and Nursing HomePoplarville, MS, CCN 251333 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2020
Feb 1, 2020
Pearl River County Hospital Swing BedPoplarville, MS, CCN 25Z333 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2020
Feb 1, 2020
Jefferson Davis Extended Care FacilityPrentiss, MS, CCN 255050 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Pearl River County Hospital and Nursing HomePoplarville, MS, CCN 255349 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 GeneralColumbia, MS, CCN 257089 Home health agency 5% Or Greater Direct Ownership Interest Jan 1, 2012
Jefferson Davis Rural Health ClinicPrentiss, MS, CCN 258523 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jul 1, 2011
Jul 1, 2011
Marion County General HospitalColumbia, MS, CCN 258612 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 ClinicPicayune, MS, CCN 258631 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 2018
Dec 1, 2018
Forrest County General HospitalPoplarville, MS, CCN 258556 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 HealthPicayune, MS, CCN 258683 Rural health clinic Operational/Managerial Control Aug 13, 2017
Forrest County General HospitalRichton, MS, CCN 253452 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2022
Highland Family Medicine ClinicPicayune, MS, CCN 258673 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 1, 2022
Jun 1, 2022

Owned or controlled facilities with NPI records 17

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

View all 17

Practitioners & affiliated clinicians

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": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505174400000",
    "number": "1295013316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 ROSE ST",
            "city": "PRENTISS",
            "state": "MS",
            "postal_code": "394745200",
            "telephone_number": "601-792-4276",
            "fax_number": "601-792-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 ROSE ST",
            "city": "PRENTISS",
            "state": "MS",
            "postal_code": "394745200",
            "telephone_number": "601-792-4276",
            "fax_number": "601-792-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORREST COUNTY GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2017-09-12",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "601-288-4225"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MS",
            "license": "16179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Davis General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prentiss, MS

Sources for this page

Verify at the official NPI Registry.