NPIMap

Organization Active NPI

Wayne General Hospital

  • General Acute Care Hospital
  • Waynesboro, MS
National Provider Identifier
1679559983
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
11288 Issued in MS
Legal business name
WAYNE GENERAL HOSPITAL
Practice address
950 Matthew Dr
Waynesboro, MS 39367-2567
Phone
(601) 735-5151
Fax
(601) 735-7168
NPI assigned
Dec 19, 2005
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
David Andrew Porter
Title
Ceo
Phone
(601) 735-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 11288 MS Primary

Addresses

Primary practice location

950 Matthew Dr
Waynesboro, MS 39367-2567

Mailing address

950 Matthew Dr
Waynesboro, MS 39367-2567
Phone (601) 735-5151

Other identifiers 3

IdentifierTypeStateIssuer
25U077OtherMSMEDICARE SWINGBED
00020131MedicaidMS
HOS0077PMedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080610000191 MS Part A Provider - Hospital 2668457581 Practice locations: Waynesboro, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679559983. Details of each certification follow.

Hospital certification: CCN 250077

Legal name
WAYNE GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 21, 1967
Last certification
Jun 30, 2010
Beds
80
Ownership / control type
Local
Organization structure
OtherProprietary
Incorporated
in MS
Enrollment address
950 Matthew Dr
Waynesboro, MS 39367-2567
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 7

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Wayne General HospitalCCN 250077 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Arthur E Medical Clinic14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

950 Matthew Dr
Waynesboro, MS 39367
Phone (601) 735-5151

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Laura Barnett Individual Corporate OfficerTrustee Jan 1, 2023
Johnnie Odom Individual Corporate OfficerTrustee Jan 1, 2002
Wayne General Hospital Organization, Waynesboro, MS 5% Or Greater Direct Ownership Interest May 21, 1967
Operational/Managerial Control May 21, 1967
Martin Stadalis Individual Corporate DirectorTrustee Jan 1, 2002
Raymond Cooley Individual Corporate OfficerTrustee Jun 20, 2016
Lonnie Sanderson Individual Corporate OfficerTrustee Sep 7, 2021
David a Porter Individual Corporate OfficerCeo Sep 5, 2023
W-2 Managing EmployeeCeo Sep 5, 2023
Laura Kelley Individual Corporate OfficerTrustee Sep 19, 2019
Daryll McDonald Individual Corporate Officer May 1, 2023

Owners & managing parties with NPI records 8

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

  • David Andrew Porter, PA
    • Physician Assistant
    • Jackson, MS
    • NPI 1043718398

    Corporate Officer, W-2 Managing Employee

    CMS ownership
  • Wayne General Hospital

    dba Wayne General Crna

    • Certified Registered Nurse Anesthetist
    • Waynesboro, MS
    • NPI 1093930638

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Wayne General Hospital

    dba Wayne General Hospice

    • Community Based Hospice Care Agency
    • Waynesboro, MS
    • NPI 1215958780

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Wayne General Hospital

    dba Waynesboro Family Medicine & Obstetrics

    • Rural Health Clinic/Center
    • Waynesboro, MS
    • NPI 1285882662

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Wayne General Hospital

    dba Wayne General Surgery Clinic

    • Clinic/Center
    • Waynesboro, MS
    • NPI 1407233612

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Wayne General Hospital

    dba Wayne General Swingbed

    • Medicare Defined Swing Bed Hospital Unit
    • Waynesboro, MS
    • NPI 1417978982

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Wayne General Hospital

    dba Wayne General School Clinic

    • Rural Health Clinic/Center
    • Waynesboro, MS
    • NPI 1558963496

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Wayne General Hospital

    dba Wayne General Home Health

    • Home Health Agency
    • Waynesboro, MS
    • NPI 1598787160

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Wayne General HospitalWaynesboro, MS, CCN 25U077 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Aug 8, 1989
Aug 8, 1989
Wayne General HospitalWaynesboro, MS, CCN 257088 Home health agency 5% Or Greater Direct Ownership Interest (100%) Oct 1, 1978
Wayne General HospitalWaynesboro, MS, CCN 258546 Rural health clinic 5% Or Greater Direct Ownership Interest Sep 2, 2008
Wayne General School ClinicWaynesboro, MS, CCN 258652 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2021

Owned or controlled facilities with NPI records 4

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

  • Wayne General Hospital

    dba Waynesboro Family Medicine & Obstetrics

    • Rural Health Clinic/Center
    • Waynesboro, MS
    • NPI 1285882662

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Wayne General Hospital

    dba Wayne General Swingbed

    • Medicare Defined Swing Bed Hospital Unit
    • Waynesboro, MS
    • NPI 1417978982

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Wayne General Hospital

    dba Wayne General School Clinic

    • Rural Health Clinic/Center
    • Waynesboro, MS
    • NPI 1558963496

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Wayne General Hospital

    dba Wayne General Home Health

    • Home Health Agency
    • Waynesboro, MS
    • NPI 1598787160

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 7

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.

Affiliated clinicians 125

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

View all 125

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1679559983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 MATTHEW DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672567",
            "telephone_number": "601-735-5151",
            "fax_number": "601-735-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MATTHEW DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672567",
            "telephone_number": "601-735-5151",
            "fax_number": "601-735-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-735-5151"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MS",
            "license": "11288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SWINGBED",
            "identifier": "25U077",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00020131",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS0077P",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, MS

Sources for this page

Verify at the official NPI Registry.