Anderson Regional Medical Center
Organization Active NPI Psychiatric Hospital Unit · Meridian, MS
NPI 1497016117 · NPPES record last updated Aug 16, 2024
Key facts
- NPI
- 1497016117
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 273R00000X
- Legal business name
- ANDERSON REGIONAL MEDICAL CENTER
- Practice address
- 1102 Constitution Ave
Meridian, MS 39301-4001 - Phone
- (601) 693-2511
- Fax
- (601) 484-3130
- NPI assigned
- May 30, 2012
- Organization subpart
- No
Authorized official
- Name
- Gregory M Duckett
- Title
- Sr VP / Clo
- Phone
- (901) 227-5233
Owners & managing parties with NPI records 11
-
Shawn C Anderson, DO
Owned or controlled facilities with NPI records 7
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 18
Related certifications (CCN) 1
Facilities with the same owner 47
Practitioners 19
-
Wesley S Bennett, M.D
-
John Timothy Boyd, M.D.
-
Sheila Darlene Davidson, NURSE PRACTITIONER
-
Karen Faye Deese, FNP-C
-
Caleb Robert Dulaney, M.D.
-
Ashley D Gray, FNP
-
Aamir Hashmat, M.D.
-
Hannah Johnson, FNP-C
-
Randall Scott Joransen, M.D.
-
Thomas G. Plavac, M.D.
-
Edwin M Purvis, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Hospital certification: CCN 25S081
- Legal name
- ANDERSON REGIONAL MEDICAL CENTER
- Doing business as
- BAPTIST ANDERSON SENIOR BEHAVIORAL HEALTH CENTER
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 1102 Constitution Ave
Meridian, MS 39301-4001 - Hospital subgroups
- Psychiatric unit
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Jason M Little |
Corporate Officer |
Jan 1, 2024 | |
| Operational/Managerial Control |
Jan 1, 2024 | ||
| James Grantham |
Corporate Director |
Jan 1, 2024 | |
| Operational/Managerial Control |
Jan 1, 2024 | ||
| Wilbur G Wilkinson |
Corporate Officer |
Jan 1, 2024 | |
| Corporate Director |
Jan 1, 2024 | ||
| Operational/Managerial Control |
Jan 1, 2024 | ||
| Joseph M Anderson |
Corporate Officer |
Jan 1, 2011 | |
| Corporate Director | Jan 1, 2011 | ||
| Operational/Managerial Control |
Jan 1, 2024 | ||
| David Vowell |
Corporate Director |
Feb 1, 2014 | |
| Operational/Managerial Control |
Jan 1, 2024 | ||
| John G Anderson |
Corporate Officer | Jul 28, 2011 | |
| W-2 Managing Employee | Jul 9, 2011 | ||
| Arthur Maples |
W-2 Managing Employee |
Jan 1, 2024 | |
| Janet G Farrington |
Corporate Director |
Jan 1, 2011 | |
| Operational/Managerial Control |
Jan 1, 2024 | ||
| Anderson Regional Medical Center |
5% Or Greater Direct Ownership Interest | Jan 1, 2011 | 100% |
| Operational/Managerial Control | Jan 1, 2001 | 100% | |
| Gregory M Duckett |
Corporate Officer |
Jan 1, 2024 | |
| Corporate Director |
Jan 1, 2024 | ||
| Operational/Managerial Control |
Jan 1, 2024 | ||
| Baptist Memorial Health Care Corporation |
5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 100% |
| Operational/Managerial Control | Jan 1, 2024 | 100% | |
| Shawn Shawn Anderson |
Corporate Director |
Jan 1, 2011 | |
| Operational/Managerial Control |
Jan 1, 2024 | ||
| Brad Huff |
Corporate Director |
Mar 1, 2020 | |
| Operational/Managerial Control |
Jan 1, 2024 |
All facility ownership & control disclosures 7
| Facility | Type | Role | Since |
|---|---|---|---|
| Anderson Regional Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 1966 Jan 1, 2024 |
| Baptist Anderson Regional Medical Center - South |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Baptist Anderson Tom C. Maynor Rehabilitation Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Baptist Anderson Swing Bed Unit |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2011 |
| Baptist Anderson Family Medical Center- Enterprise |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2011 Jan 1, 2011 |
| Baptist Anderson Children'S Medical Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2011 |
| Baptist Anderson Family Medical Center- Airpark |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2011 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120828000261 | MS | Part a Provider - Hospital | 4284548025 | Practice locations: Meridian, MS |
National Provider Directory
- Tax ID family
- Stonewall Family Medica
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | Yes |
Addresses
Primary practice location
1102 Constitution Ave
Meridian, MS 39301-4001
Mailing address
1102 Constitution Ave
Meridian, MS 39301-4001
Phone (601) 693-2511
Other names
- Baptist Anderson Senior Behavioral Health Center
Other providers in Meridian, MS
- Anderson Regional Medical Center
- Anderson Regional Medical Center
- Anderson Regional Medical Center
- Anderson Regional Medical Center
- Anderson Regional Medical Center
- Anderson Regional Medical Center
- Anderson Regional Medical Center
- Anderson Regional Medical Center
- Anderson Regional Medical Center
- Anderson Regional Medical Center
All providers in Meridian, MS · Psychiatric Hospital Unit 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 16, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.