NPIMap

Organization Active NPI

Noxubee General Critical Access Hospital

Doing business as Brooksville Medical Clinic

  • Rural Health Clinic/Center
  • Brooksville, MS
National Provider Identifier
1669657565
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL
Doing business as
Brooksville Medical Clinic
Practice address
1560 N Oliver St
Brooksville, MS 39739
Phone
(662) 738-4424
Fax
(662) 438-4615
NPI assigned
Jan 9, 2008
Last updated
Dec 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NOXUBEE GENERAL CRITICAL ACCESS HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Danny H McKay
Title
Administrator
Phone
(662) 726-4231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

1560 N Oliver St
Brooksville, MS 39739

Mailing address

PO Box 480
Macon, MS 39341-0480
Phone (662) 738-4424

Other identifiers 1

IdentifierTypeStateIssuer
09014825MedicaidMS

Other names 1

  • Brooksville Medical Clinic Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040524000515 MS Part B Supplier - Clinic/Group Practice 9335130798 Receives reassigned benefits from 24 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Macon, MS
O20080122000728 MS Part A Provider - Rural Health Clinic 9335130798 Practice locations: Brooksville, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669657565. Details of each certification follow.

Rural health clinic certification: CCN 258541

Legal name
NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL
Doing business as
BROOKSVILLE MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 1, 2007
Last certification
Jul 15, 2025
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
1560 N Oliver St
Brooksville, MS 39739

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Part of
Noxubee General Hospita

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Margaret Ebert Individual W-2 Managing Employee Jul 7, 2020
Operational/Managerial Control Jul 7, 2020

Practitioners & affiliated clinicians

Practitioners 1

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": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1669657565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "city": "MACON",
            "state": "MS",
            "postal_code": "393410480",
            "telephone_number": "662-738-4424",
            "fax_number": "662-738-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 N OLIVER ST",
            "city": "BROOKSVILLE",
            "state": "MS",
            "postal_code": "39739",
            "telephone_number": "662-738-4424",
            "fax_number": "662-438-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL",
        "enumeration_date": "2008-01-09",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-726-4231"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014825",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooksville Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooksville, MS

Sources for this page

Verify at the official NPI Registry.