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Organization Active NPI

Anderson Regional Medical Center

Doing business as Baptist Anderson Regional Medical Center

  • General Acute Care Hospital
  • Meridian, MS
National Provider Identifier
1649226952
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
13237 Issued in MS
Legal business name
ANDERSON REGIONAL MEDICAL CENTER
Doing business as
Baptist Anderson Regional Medical Center
Practice address
2124 14TH St
Meridian, MS 39301-4040
Phone
(601) 553-6000
Fax
(601) 553-6115
NPI assigned
May 26, 2006
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Gregory M Duckett
Title
Sr VP / Clo
Phone
(901) 227-5233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 13237 MS Primary

Addresses

Primary practice location

2124 14TH St
Meridian, MS 39301-4040

Mailing address

2124 14TH St
Meridian, MS 39301-4040
Phone (601) 553-6000

Other practice location 1

8985 Church Rd
Collinsville, MS 39325-9326
Phone (601) 626-8354

Other practice location 2

1926 23rd Ave
Meridian, MS 39301-3107
Phone (601) 485-1131

Other identifiers 6

IdentifierTypeStateIssuer
010-190OtherALBLUE CROSS OF AL
000020046OtherMSBLUE CROSS OF MS
00020046MedicaidMS
01JAMSOtherUNITED HEALTHCARE
JEF0891NMedicaidAL
250104B000000OtherUNDOCUMENTED ALIENS

Other names 1

  • Baptist Anderson Regional Medical Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031117000522 MS Part B Supplier - Clinic/Group Practice 4284548025 Receives reassigned benefits from 40 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Enterprise, MS; Philadelphia, MS; Meridian, MS
O20071205000639 MS Part A Provider - Hospital 4284548025 Practice locations: Collinsville, MS; Meridian, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649226952. Details of each certification follow.

Hospital certification: CCN 250104

Legal name
ANDERSON REGIONAL MEDICAL CENTER
Doing business as
ANDERSON REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 1, 1970
Last certification
Jan 26, 2011
Beds
260
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 23, 1928 in MS
Enrollment address
2124 14TH St
Meridian, MS 39301-4040
Other Hospital Practice Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 10

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

Other NPIs on the same Medicare enrollment 7

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Anderson Regional Medical CenterCCN 250104 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Stonewall Fam Med Ctr19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

2000 15th St
Meridian, MS 39301
Phone (601) 553-6284

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

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
Jason M Little Individual Corporate OfficerPresident of Bmhcc Jan 1, 2024
Corporate DirectorPresident / Ceo Jan 1, 2024
James Grantham Individual Corporate DirectorBoard Member Jan 1, 2024
Operational/Managerial ControlBoard Member Jan 1, 2024
Wilbur G Wilkinson Individual Corporate OfficerVice Chairman of the Board Jan 1, 2024
Corporate DirectorBoard Member Jan 1, 2022
Operational/Managerial ControlBoard Member Jan 1, 2024
Joseph M Anderson Individual Corporate OfficerChairman of the Board Jan 1, 2024
Corporate DirectorChairman of the Board Dec 11, 1984
Operational/Managerial ControlChairman of the Board Jan 1, 2024
David Vowell Individual Corporate DirectorBoard Member Jan 1, 2011
Operational/Managerial ControlBoard Member Jan 1, 2024
John G Anderson Individual Corporate OfficerAdministrator Mar 9, 1993
W-2 Managing EmployeeAd; Mar 9, 1993
Operational/Managerial ControlAdministrator Jan 1, 2024
Arthur Maples Individual W-2 Managing EmployeeDir Reg Planning / Policy Jan 1, 2024
Janet G Farrington Individual Corporate DirectorBoard Member Apr 8, 1986
Operational/Managerial ControlBoard Member Jan 1, 2024
Anderson Regional Medical Center Organization, Meridian, MS Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Operational/Managerial Control Jan 1, 2024 100%
Gregory M Duckett Individual Corporate OfficerSecretaory Jan 1, 2024
Corporate DirectorBoard Member Jan 1, 2024
Operational/Managerial ControlBoard Member Jan 1, 2024
Baptist Memorial Health Care Corporation Organization, Memphis, TN Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jan 1, 2024 100%
Operational/Managerial Control Jan 1, 2024 100%
Shawn Shawn Anderson Individual Corporate DirectorBoard Member Sep 11, 2001
Brad Huff Individual Corporate DirectorBoard Membe Mar 1, 2020
Operational/Managerial ControlBoard Member Jan 1, 2024

Owners & managing parties with NPI records 11

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

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baptist Anderson Regional Medical Center - SouthMeridian, MS, CCN 250081 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Baptist Anderson Tom C. Maynor Rehabilitation CenterMeridian, MS, CCN 25T081 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Baptist Anderson Senior Behavioral Health CenterMeridian, MS, CCN 25S081 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2011
Jan 1, 2001
Baptist Anderson Swing Bed UnitMeridian, MS, CCN 25U081 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2011
Baptist Anderson Family Medical Center- EnterpriseEnterprise, MS, CCN 258588 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 CenterMeridian, MS, CCN 258584 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2011
Baptist Anderson Family Medical Center- AirparkPhiladelphia, MS, CCN 258587 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2011

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 47

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

View all 47

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

Affiliated clinicians 362

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 362

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1649226952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 14TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014040",
            "telephone_number": "601-553-6000",
            "fax_number": "601-553-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 14TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014040",
            "telephone_number": "601-553-6000",
            "fax_number": "601-553-6115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8985 Church Rd",
            "address_purpose": "LOCATION",
            "city": "Collinsville",
            "state": "MS",
            "postal_code": "393259326",
            "country_code": "US",
            "telephone_number": "601-626-8354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1926 23rd Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393013107",
            "country_code": "US",
            "telephone_number": "601-485-1131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANDERSON REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR VP / CLO",
        "authorized_official_telephone_number": "901-227-5233"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MS",
            "license": "13237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF AL",
            "identifier": "010-190",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MS",
            "identifier": "000020046",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00020046",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "01JAMS",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "JEF0891N",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNDOCUMENTED ALIENS",
            "identifier": "250104B000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Anderson Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.