North Mississippi Primary Health Care, Inc.

Organization Active NPI Federally Qualified Health Center (FQHC) · Walnut, MS

NPI 1376938746 · NPPES record last updated Aug 31, 2026

Key facts

NPI
1376938746
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Practice address
531 Main St
Walnut, MS 38683-9349
Phone
(662) 223-4011
Fax
(662) 223-4018
NPI assigned
Apr 2, 2015
Organization subpart
Yes
Parent organization (as reported)
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.

Authorized official

Name
William Hardee Stone
Title
Ceo
Phone
(662) 224-8951

Owners & managing parties with NPI records 10

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

Owned or controlled facilities with NPI records 9

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

Other NPIs with the same Medicare PAC ID 10

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

Corporate family (same tax ID) 15

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

Facilities with the same owner 6

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

Practitioners 27

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

View all 27

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS

Federally qualified health center certification: CCN 251853

Legal name
NORTH MISSISSIPPI PRIMARY HEALTH CARE INC
Doing business as
WALNUT MEDICAL CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 14, 1995
Last certification
Sep 14, 1995
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Jan 17, 1984 in MS
Enrollment address
531 Main St
Walnut, MS 38683-9349

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Lewis Errol Davis
Individual
Other Jan 1, 2002
Bonnie B Martindale
Individual
Corporate Officer
Board Member
Jan 16, 2023
North Mississippi Primary Health Care Inc
Organization · Ashland, MS
Non-profit
Operational/Managerial Control Sep 14, 1995 100%
William H Stone
Individual
Contracted Managing Employee
Ceo
Jul 24, 2023
Corporate Officer
Ceo
Jul 24, 2023
Corporate Director
Ceo
Jul 24, 2023
W-2 Managing Employee
Ceo
Jul 24, 2023
Operational/Managerial Control
Ceo
Jul 24, 2023
Frederick Steve Bostick
Individual
Other Jan 1, 1998
Mary Tucker
Individual
Other Jan 1, 2000

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
Corinth Community Health Center
Corinth, MS · CCN 251937
Federally qualified health center Other Sep 1, 2004
Ripley Health Care Associates
Ripley, MS · CCN 251867
Federally qualified health center Operational/Managerial Control May 1, 1985
Booneville Community Health Center
Booneville, MS · CCN 251877
Federally qualified health center Operational/Managerial Control Jan 4, 2001
New Albany Health Care Associates
New Albany, MS · CCN 251042
Federally qualified health center Operational/Managerial Control (100%) May 19, 2016
Charger Health and Wellness
Oxford, MS · CCN 251116
Federally qualified health center Operational/Managerial Control (100%) May 1, 1985
Ashland Multispecialty Telehealth and Administration Building
Ashland, MS · CCN 251167
Federally qualified health center Operational/Managerial Control (100%) May 1, 1985
Nmphc Holly Springs
Holly Springs, MS · CCN 251168
Federally qualified health center Operational/Managerial Control (100%) May 1, 1985

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20150507001006 MS Part a Provider - Federally Qualified Health Center (FQHC) 3274513528 Practice locations: Walnut, MS

National Provider Directory

Tax ID family
North Benton Cty HLTH C (16 organizations share this tax ID)
Part of
North Benton Cty HLTH C

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

531 Main St
Walnut, MS 38683-9349

Mailing address

15921 Boundary Dr
PO Box 92
Ashland, MS 38603-7740
Phone (662) 224-8951

Other identifiers

IdentifierTypeStateIssuer
09014595MedicaidMS

Other names

  • WALNUT MEDICAL CENTER Doing business as

Other providers in Walnut, MS

All providers in Walnut, MS · Federally Qualified Health Center (FQHC) in Mississippi

Sources for this page

Verify at the official NPI Registry.