NPIMap

Organization Active NPI

South Central Regional Medical Center

Doing business as Magee General Hospital Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Magee, MS
National Provider Identifier
1407976913
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
13-274 Issued in MS
Legal business name
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Doing business as
Magee General Hospital Swing Bed
Practice address
300 3Rd Ave SE
Magee, MS 39111-3665
Phone
(601) 849-5070
Fax
(601) 849-7116
NPI assigned
Mar 29, 2007
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH CENTRAL REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Martha Lynn Prewitt
Title
Analyst
Phone
(601) 849-7326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 13-274 MS Primary

Addresses

Primary practice location

300 3Rd Ave SE
Magee, MS 39111-3665

Mailing address

300 3Rd Ave SE
Magee, MS 39111-3665
Phone (601) 849-5070

Other identifiers 1

IdentifierTypeStateIssuer
00029004MedicaidMS

Other names 1

  • Magee General Hospital Swing Bed Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080512000362 MS Part A Provider - Hospital 3678466463 Practice locations: Magee, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407976913. Details of each certification follow.

Hospital certification: CCN 25U124

Legal name
MAGEE BENEVOLENT ASSOCIATION
Doing business as
MAGEE GENERAL HOSPITAL - SWING BED
Organization structure
CorporationProprietary
Incorporated
Sep 3, 1942 in MS
Enrollment address
300 3Rd Ave SE
Magee, MS 39111-3665
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

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

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Magee General Hospital9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Trilogy Healthcare Solutions LLC Organization, Madison, MS Management services company Operational/Managerial Control Jul 1, 2017
Marion Dickson Individual W-2 Managing EmployeeAuthorized Official & Hospital Cfo Dec 1, 2020
Elsa Brewer Individual Corporate Director Aug 1, 2025
Victor Jones Individual Corporate DirectorVice Chairman Director Aug 1, 2025
Martha Prewitt Individual W-2 Managing EmployeeDelegated Official Aug 27, 2012
Jack Scoggin Individual Corporate Director Aug 1, 2025
Magee Benevolent Association Organization, Magee, MS 5% Or Greater Direct Ownership Interest Oct 31, 2007
Lewis Goins Individual Corporate DirectorSecretary Director Aug 1, 2025
Arthur Siggers Individual Corporate Director Aug 1, 2025
Michael Lowe Individual Corporate DirectorTreasurer Director Aug 1, 2025
Chanda Roberts Individual Corporate DirectorFinancial Director Mar 22, 2013
W-2 Managing EmployeeController Dec 26, 2006
Gregg Gibbes Individual W-2 Managing EmployeeHospital Ceo, Board of Director Apr 20, 2019
George Walters Individual Corporate DirectorChairman Director Aug 1, 2025

Owners & managing parties with NPI records 2

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1407976913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 3RD AVE SE",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113665",
            "telephone_number": "601-849-5070",
            "fax_number": "601-849-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 3RD AVE SE",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113665",
            "telephone_number": "601-849-5070",
            "fax_number": "601-849-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH CENTRAL REGIONAL MEDICAL CENTER",
        "enumeration_date": "2007-03-29",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "PREWITT",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ANALYST",
        "authorized_official_telephone_number": "601-849-7326"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MS",
            "license": "13-274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00029004",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magee General Hospital Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Magee, MS

Sources for this page

Verify at the official NPI Registry.