NPIMap

Organization Active NPI

Clay County Medical Corporation

Doing business as West Point Primary Care

  • Rural Health Clinic/Center
  • West Point, MS
National Provider Identifier
1508224312
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
13-312 Issued in MS
Legal business name
CLAY COUNTY MEDICAL CORPORATION
Doing business as
West Point Primary Care
Practice address
977 Emergency Dr
West Point, MS 39773-9322
Phone
(662) 494-5232
Fax
(662) 494-1211
NPI assigned
Feb 8, 2016
Last updated
Jan 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

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

Specialties & licenses 1

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

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 names 1

  • West Point Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508224312. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Apr 27, 1982 in DE
Enrollment address
977 Emergency Drive
West Point, MS 39773-9322
Related CCNs
250067

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

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 14

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

View all 14

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0671096Clay Co Medical Corp Dba West Point Primary Care977 Emergency Drive, West Point, MS 39773ComplianceOct 5, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

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 DirectorBoard Member Jan 1, 2013
Edgar Harris Individual Corporate DirectorBoard Member Jan 1, 2013
Deloris Doss Individual Corporate DirectorBoard Member Jan 1, 2013
Ladonna Helveston Individual Corporate DirectorBoard Member Jan 1, 2013
Ronald E Powell Individual Corporate DirectorChairman 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 OfficerSecretary Jan 1, 2013
Angela G Anderson Individual Corporate DirectorBoard Member Jan 1, 2013
Sharon D Nobles Individual Corporate OfficerTreasurer Apr 4, 2017
Barry L Keel Individual W-2 Managing EmployeeAdministrator Mar 1, 2015
Harmon a Robinson Individual Corporate DirectorBoard Member Jan 1, 2013
Eluster Wicks Individual Corporate DirectorBoard Member Jan 1, 2013
Michael S Spees Individual Corporate OfficerCeo and President (Home Office) Jan 1, 2013
Byron K Watson Individual Corporate DirectorBoard Member Jan 1, 2013
William K Blair Individual Corporate DirectorBoard Member Jan 1, 2013
George Purnell Individual Corporate DirectorBoard Member Jan 1, 2013

Owners & managing parties with NPI records 1

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

Facilities with the same owner 33

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

View all 33

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Point Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Point, MS

Sources for this page

Verify at the official NPI Registry.