Wayne General Hospital
Organization Active NPI General Acute Care Hospital · Waynesboro, MS
NPI 1679559983 · NPPES record last updated Mar 25, 2026
Key facts
- NPI
- 1679559983
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 11288 (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
- Organization subpart
- No
Authorized official
- Name
- David Andrew Porter
- Title
- Ceo
- Phone
- (601) 735-5151
Owners & managing parties with NPI records 8
Owned or controlled facilities with NPI records 4
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 13
Related certifications (CCN) 3
Facilities with the same owner 4
Practitioners 49
-
Wulf Hirschfield, MD
-
Cynthia C. Odom, CNM, FNP
-
Ross Kelvin Sherman, M.D.
-
Courtney T Adkins, NURSE PRACTITIONER
-
Lisa Akridge, NP
-
Jessica Lynn Anderson, FNP-C
-
Casie Barnes, AGACNP
-
Muhammed Bilal, DO
-
Shelley Brand, D.P.M.
-
Caitlyn Brett, DO
-
Bobbie Jean Cooksey, FNP C
-
Nathan Chambers Darby, M.D.
-
Amanda L Freeman, FNP
-
Jasmine C. Hollinger, M.D.
-
Karen Creel Ladnier, AGACNP
-
Sara Beth McGee, NP
-
Michael R. McMullan, M.D.
-
Jaimee Victoria Paige, PHMNP-BC
-
Kaiman Will Parker, PA-C
Affiliated clinicians 125
-
Amy Adams, D.O.
-
Courtney T Adkins, NURSE PRACTITIONER
-
Lisa Akridge, NP
-
Jessica Lynn Anderson, FNP-C
-
Casie Barnes, AGACNP
-
Thomas B Baylis, MD
-
John Hunter Berry, M.D.
-
Muhammed Bilal, DO
-
Imad Bitar, MD
-
Lisa K Bond, MD
-
William W. Boone, M.D.
-
Bendan Boyd, FNP-C
-
Savannah Leeann Boyd, FNP-C
-
Maylen Musgrove Brady, PA-C
-
Shelley Brand, D.P.M.
-
Melissa Jodi Brents, M.D.
-
Caitlyn Brett, DO
-
Jeffrey A Burns, M.D.
-
Marshall Bynum, PA
-
Chad D. Caraway, N.P.
Medicare Care Compare: Hospital
- Listed as
- Wayne General Hospital
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
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
- Other · Proprietary
- Incorporated
- in MS
- Enrollment address
- 950 Matthew Dr
Waynesboro, MS 39367-2567 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Laura Barnett |
Corporate Officer |
Jan 1, 2023 | |
| Johnnie Odom |
Corporate Officer |
Jan 1, 2002 | |
| Wayne General Hospital |
5% Or Greater Direct Ownership Interest | May 21, 1967 | |
| Operational/Managerial Control | May 21, 1967 | ||
| Martin Stadalis |
Corporate Director |
Jan 1, 2002 | |
| Raymond Cooley |
Corporate Officer |
Jun 20, 2016 | |
| Lonnie Sanderson |
Corporate Officer |
Sep 7, 2021 | |
| David a Porter |
Corporate Officer |
Sep 5, 2023 | |
| W-2 Managing Employee |
Sep 5, 2023 | ||
| Laura Kelley |
Corporate Officer |
Sep 19, 2019 | |
| Daryll McDonald |
Corporate Officer | May 1, 2023 |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Wayne General Hospital |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Aug 8, 1989 Aug 8, 1989 |
| Wayne General Hospital |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 1978 |
| Wayne General Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest | Sep 2, 2008 |
| Wayne General School Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080610000191 | MS | Part a Provider - Hospital | 2668457581 | Practice locations: Waynesboro, MS |
National Provider Directory
- Tax ID family
- Arthur E Medical Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 11288 | MS | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25U077 | Other | MS | MEDICARE SWINGBED |
| HOS0077P | Medicaid | AL | |
| 00020131 | Medicaid | MS |
Other providers in Waynesboro, MS
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- Wayne General Hospital
- Wayne General Hospital
- Wayne General Hospital
- Wayne General Hospital
- Wayne General Hospital
- Wayne General Hospital
All providers in Waynesboro, MS · General Acute Care Hospital in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.