NPIMap

Organization Active NPI

Tate County Hospital

Doing business as Highland Hills Medical Associates of Strayhorn

  • Family Medicine Physician
  • Sarah, MS
National Provider Identifier
1669349502
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TATE COUNTY HOSPITAL
Doing business as
Highland Hills Medical Associates of Strayhorn
Practice address
3509 Highway 4 W
Sarah, MS 38665-3567
Phone
(662) 612-6411
Fax
(662) 612-6414
NPI assigned
Oct 23, 2025
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
TATE COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Jennifer Miller, RN
Title
Ceo
Phone
(662) 562-3191

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3509 Highway 4 W
Sarah, MS 38665-3567

Mailing address

PO Box 508
Senatobia, MS 38668-0508
Phone (662) 612-6411

Other names 1

  • Highland Hills Medical Associates of Strayhorn Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230517000566 MS Part B Supplier - Clinic/Group Practice 6103282165 Receives reassigned benefits from 40 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Senatobia, MS; Sarah, MS
O20230605002819 MS Part A Provider - Hospital 6103282165 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Senatobia, MS; Sarah, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669349502. Details of each certification follow.

Hospital certification: CCN 250172

Legal name
TATE COUNTY HOSPITAL
Doing business as
HIGHLAND HILLS MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 27, 2021
Last certification
Oct 27, 2021
Beds
49 (15 certified)
Ownership / control type
Private (not for profit)
Most recent change of ownership
May 1, 2023 (1 total)
Organization structure
GovernmentNon-profit
Enrollment address
401 Getwell Dr
Senatobia, MS 38668-2213
Main/Primary Hospital Location
Hospital subgroups
Acute care

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

Other NPIs on the same Medicare enrollment 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Highland Hills Medical CenterCCN 250172 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
25D2165081Highland Hills Medical Associates3509 Highway 4 West, Sarah, MS 38665Certificate of waiverApr 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Tate County Hospital3 organizations share this tax ID, including this one
Part of
Tate County Hospital

Other organizations with this tax ID 2

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

Locations

3509 Highway 4 W
Sarah, MS 38665
Phone (662) 612-0311

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Jennifer Bouchillon Individual Contracted Managing EmployeeContract Accountant May 1, 2023
Jennifer D Hall Individual Corporate Director Feb 1, 2025
Ronnie King Individual Corporate DirectorBoard of Trustees Member May 1, 2023
Brant Kairit Individual Corporate DirectorBoard Member Feb 1, 2025
Parke Pepper Individual Corporate DirectorBoard of Trustees Member May 1, 2023
Jay Tindall Individual Corporate DirectorBoard Member Feb 1, 2025
Craig Shideler Individual Corporate DirectorBoard of Trustees Member May 1, 2023
Tate County Hospital Organization, Senatobia, MS Created for acquisition 5% Or Greater Direct Ownership Interest May 1, 2023
Michael Zech Individual Corporate DirectorBoard of Trustees Member May 1, 2023
Jennifer Miller Individual W-2 Managing EmployeeAd;Chief Executive Officer Jan 13, 2025

Owners & managing parties with NPI records 2

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

  • Tate County Hospital

    dba Highland Hills Medical Associates

    • Rural Health Clinic/Center
    • Senatobia, MS
    • NPI 1285331298

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Tate County Hospital

    dba Highland Hills Medical Center

    • General Acute Care Hospital
    • Senatobia, MS
    • NPI 1619676251

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 39

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 39

Affiliated clinicians 53

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

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1669349502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 508",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386680508",
            "telephone_number": "662-612-6411",
            "fax_number": "662-612-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 HIGHWAY 4 W",
            "city": "SARAH",
            "state": "MS",
            "postal_code": "386653567",
            "telephone_number": "662-612-6411",
            "fax_number": "662-612-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATE COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TATE COUNTY HOSPITAL",
        "enumeration_date": "2025-10-23",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-562-3191",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Hills Medical Associates of Strayhorn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarah, MS

Sources for this page

Verify at the official NPI Registry.