NPIMap

Clay County Medical Corporation

Organization Active NPI Rural Health Clinic/Center · West Point, MS

NPI 1508224312 · NPPES record last updated Jan 20, 2025

Key facts

NPI
1508224312
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
License
13-312 (MS)
Legal business name
CLAY COUNTY MEDICAL CORPORATION
Practice address
977 Emergency Dr
West Point, MS 39773-9322
Phone
(662) 494-5232
Fax
(662) 494-1211
NPI assigned
Feb 8, 2016
Organization subpart
No

Authorized official

Name
Bruce J Toppin
Title
Corporate Secretary
Phone
(662) 377-4229

Owners & managing parties with NPI records 1

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

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 4

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

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

Facilities with the same owner 33

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

View all 33

Practitioners 44

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

View all 44

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0671096Clay Co Medical Corp Dba West Point Primary Care
977 Emergency Drive, West Point, MS 39773		ComplianceOct 5, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MS

Rural health clinic certification: CCN 258621

Legal name
CLAY COUNTY MEDICAL CORPORATION
Doing business as
WEST POINT PRIMARY CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 4, 2017
Last certification
May 4, 2017
Ownership / control type
2B
Organization structure
Corporation · Non-profit
Incorporated
Apr 27, 1982 in DE
Enrollment address
977 Emergency Drive
West Point, MS 39773-9322
Related CCNs
250067

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Kyle Chandler
Individual 		Corporate Director
Board Member		 Jan 1, 2013
Edgar Harris
Individual 		Corporate Director
Board Member		 Jan 1, 2013
Deloris Doss
Individual 		Corporate Director
Board Member		 Jan 1, 2013
Ladonna Helveston
Individual 		Corporate Director
Board Member		 Jan 1, 2013
Ronald E Powell
Individual 		Corporate Director
Chairman of the Board		 Jan 1, 2013
North Mississippi Health Services Inc
Organization · Tupelo, MS
Corporation, Non-profit 		5% Or Greater Indirect Ownership Interest Aug 24, 1992 100%
Bruce J Toppin
Individual 		Corporate Officer
Secretary		 Jan 1, 2013
Angela G Anderson
Individual 		Corporate Director
Board Member		 Jan 1, 2013
Sharon D Nobles
Individual 		Corporate Officer
Treasurer		 Apr 4, 2017
Barry L Keel
Individual 		W-2 Managing Employee
Administrator		 Mar 1, 2015
Harmon a Robinson
Individual 		Corporate Director
Board Member		 Jan 1, 2013
Eluster Wicks
Individual 		Corporate Director
Board Member		 Jan 1, 2013
Michael S Spees
Individual 		Corporate Officer
Ceo and President (Home Office)		 Jan 1, 2013
Byron K Watson
Individual 		Corporate Director
Board Member		 Jan 1, 2013
William K Blair
Individual 		Corporate Director
Board Member		 Jan 1, 2013
George Purnell
Individual 		Corporate Director
Board Member		 Jan 1, 2013

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20041119000718 MS Part B Supplier - Clinic/Group Practice 4789649609 Receives reassigned benefits from 98 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Point, MS; Starkville, MS; Eupora, MS; Aberdeen, MS
O20161014000856 MS Part a Provider - Rural Health Clinic 4789649609 Practice locations: West Point, MS

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 13-312 MS Yes

Addresses

Primary practice location

977 Emergency Dr
West Point, MS 39773-9322

Mailing address

808 Varsity Dr
Tupelo, MS 38801-4613
Phone (662) 377-2774

Other identifiers

IdentifierTypeStateIssuer
355782OtherMSMEDICARE
000427062MedicaidMS

Other names

  • West Point Primary Care Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 20, 2025.

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1508224312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 VARSITY DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014613",
            "telephone_number": "662-377-2774",
            "fax_number": "662-377-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 EMERGENCY DR",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397739322",
            "telephone_number": "662-494-5232",
            "fax_number": "662-494-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY COUNTY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "TOPPIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "662-377-4229"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MS",
            "license": "13-312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "355782",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000427062",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Point Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Point, MS

All providers in West Point, MS · Rural Health Clinic/Center in Mississippi

Sources for this page

Verify at the official NPI Registry.