NPIMap

Organization Active NPI

South Mississippi State Hospital

  • Psychiatric Hospital Unit
  • Purvis, MS
National Provider Identifier
1457330995
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
31336 Issued in MS
Legal business name
SOUTH MISSISSIPPI STATE HOSPITAL
Practice address
823 Highway 589
Purvis, MS 39475-4194
Phone
(601) 794-0100
Fax
(601) 794-0213
NPI assigned
Jan 12, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Wynona Winfield
Title
Hospital Director
Phone
(601) 794-0100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 31336 MS Primary
Psychiatric Hospital 283Q00000X 31329 MS

Addresses

Primary practice location

823 Highway 589
Purvis, MS 39475-4194

Mailing address

823 Highway 589
Purvis, MS 39475-4194
Phone (601) 794-0100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110316000771 MS Part A Provider - Hospital 0648452383 Practice locations: Purvis, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457330995. Details of each certification follow.

Hospital certification: CCN 254008

Legal name
SOUTH MISSISSIPPI STATE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Nov 20, 2001
Last certification
May 2, 2003
Beds
50
Ownership / control type
State
Organization structure
OtherNon-profit
Enrollment address
823 Highway 589
Purvis, MS 39475-4194
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
South Mississippi State HospitalCCN 254008 · All quality measures
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
South Mississippi State2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

823 Highway 589
Purvis, MS 39475
Phone (601) 794-0100

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
South Mississippi State Hospital Organization, Purvis, MS 5% Or Greater Direct Ownership Interest Nov 25, 1997 100%
Sabrina D Young Individual Corporate DirectorHospital Director Jan 19, 2017 100%
W-2 Managing EmployeeHospital Director Oct 6, 2017 100%

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1457330995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 HIGHWAY 589",
            "city": "PURVIS",
            "state": "MS",
            "postal_code": "394754194",
            "telephone_number": "601-794-0100",
            "fax_number": "601-794-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 HIGHWAY 589",
            "city": "PURVIS",
            "state": "MS",
            "postal_code": "394754194",
            "telephone_number": "601-794-0100",
            "fax_number": "601-794-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MISSISSIPPI STATE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WINFIELD",
        "authorized_official_first_name": "WYNONA",
        "authorized_official_title_or_position": "HOSPITAL DIRECTOR",
        "authorized_official_telephone_number": "601-794-0100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MS",
            "license": "31336",
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MS",
            "license": "31329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purvis, MS

Sources for this page

Verify at the official NPI Registry.