NPIMap

Organization Active NPI

Forrest County General Hospital

Doing business as Pearl River County Hospital and Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Poplarville, MS
National Provider Identifier
1740329341
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
FORREST COUNTY GENERAL HOSPITAL
Doing business as
Pearl River County Hospital and Nursing Home
Practice address
305 West Moody Street
Poplarville, MS 39470
Phone
(601) 795-4543
Fax
(601) 795-4238
NPI assigned
Feb 6, 2007
Last updated
Mar 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Mr. Ben Hester
Title
Cfo
Phone
(601) 288-4225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

305 West Moody Street
Poplarville, MS 39470

Mailing address

125 S 28TH Ave Ste 326
Hattiesburg, MS 39401-7152
Phone (601) 288-1823

Other names 1

  • Pearl River County Hospital and Nursing Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201019001975 MS Part A Provider - Skilled Nursing Facility 1052397767 Practice locations: Poplarville, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740329341. Details of each certification follow.

Skilled nursing facility certification: CCN 255349

Legal name
FORREST COUNTY GENERAL HOSPITAL
Doing business as
PEARL RIVER COUNTY HOSPITAL AND NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 2, 2020
Last certification
Feb 27, 2025
Beds
105
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Forest General Hospital
Organization structure
GovernmentNon-profit
Enrollment address
305 West Moody Street
Poplarville, MS 39470-7338
Nursing home name
PEARL RIVER CO NURSING HOME

Other NPIs with the same Medicare PAC ID 24

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

View all 24

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pearl River Co Nursing HomeCCN 255349 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Dec 2, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10585.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Forrest General Cancer Center41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Erik Steele Individual Corporate OfficerVice Chair & Secretary Aug 1, 2023
Corporate DirectorMember of the Board of Trustees Feb 1, 2020
Operational/Managerial ControlMember of the Board of Trustees Feb 1, 2020
Forrest County General Hospital Organization, Hattiesburg, MS Non-profit 5% Or Greater Direct Ownership Interest Feb 1, 2020 100%
Operational/Managerial Control Feb 1, 2020 100%
Sheree Jenkins Individual W-2 Managing EmployeeDirector of Revenue Systems Feb 1, 2020
Operational/Managerial ControlDirector of Revenue Systems Feb 1, 2020
Richard Andy Woodard Individual Corporate OfficerExecutive Officer Feb 1, 2020
W-2 Managing EmployeeChief Executive Officer Feb 1, 2020
Operational/Managerial ControlChief Executive Officer Feb 1, 2020
Ben R Hester Individual Corporate OfficerVP/Chief Financial Officer Feb 1, 2020
W-2 Managing EmployeeVP/Chief Financial Officer Feb 1, 2020
Operational/Managerial ControlVP/Chief Financial Officer Feb 1, 2020
Melissa a Watson Individual W-2 Managing EmployeeSenior Payer Credentialing Speciali Oct 1, 2016
Operational/Managerial ControlSenior Payer Credentialing Speciali Oct 1, 2016
Courtney Lowrimore Individual W-2 Managing EmployeePayer Credentialing Specialist May 1, 2016
Operational/Managerial ControlPayer Credentialing Specialist May 1, 2016
Dudley Brown Individual W-2 Managing EmployeePayer Credentialing Specialist May 20, 2023
Bryan K Maxie Individual W-2 Managing EmployeeRegional Administrator Feb 1, 2020
Operational/Managerial ControlRegional Administrator Feb 1, 2020
Marcus L Hogan Individual Corporate DirectorMember of Board of Trustees Feb 1, 2020
Operational/Managerial ControlMember of the Board of Trustees Feb 1, 2020
Jana Causey Individual Corporate OfficerBoard of Trustee Member /Chairman Aug 1, 2023
Corporate DirectorBoard of Trustee Member / Chairman Aug 1, 2023
Operational/Managerial ControlBoard of Trustees Member / Chairman Aug 1, 2023
Richard W Preusch Individual Corporate DirectorMember of Board of Trustees Feb 1, 2020
Operational/Managerial ControlMember of Board of Trustees Feb 1, 2020

Owners & managing parties with NPI records 24

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

View all 24

All facility ownership & control disclosures 16

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

FacilityTypeRoleSince
Highland Community HospitalPicayune, MS, CCN 250117 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 May 1, 2006
May 1, 2006
The Orthopedic InstituteHattiesburg, MS, CCN 250078 Hospital 5% Or Greater Direct Ownership Interest Jul 15, 1952
Marion General HospitalColumbia, MS, CCN 250085 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Marion General HospitalColumbia, MS, CCN 25U085 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Jefferson Davis Community Hospital Swing BedPrentiss, MS, CCN 25Z326 Hospital Operational/Managerial Control (100%) Jul 1, 2011
Pearl River County Hospital and Nursing HomePoplarville, MS, CCN 251333 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2020
Feb 1, 2020
Pearl River County Hospital Swing BedPoplarville, MS, CCN 25Z333 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2020
Feb 1, 2020
Jefferson Davis Extended Care FacilityPrentiss, MS, CCN 255050 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Forrest General Home Care of Marion GeneralColumbia, MS, CCN 257089 Home health agency 5% Or Greater Direct Ownership Interest Jan 1, 2012
Jefferson Davis Rural Health ClinicPrentiss, MS, CCN 258523 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jul 1, 2011
Jul 1, 2011
Marion County General HospitalColumbia, MS, CCN 258612 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 1, 2014
Oct 1, 2007
Highland Pediatric and Primary Care Rural Health ClinicPicayune, MS, CCN 258631 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 2018
Dec 1, 2018
Forrest County General HospitalPoplarville, MS, CCN 258556 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2020
Feb 1, 2020
Highland Center for Women's HealthPicayune, MS, CCN 258683 Rural health clinic Operational/Managerial Control Aug 13, 2017
Forrest County General HospitalRichton, MS, CCN 253452 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2022
Highland Family Medicine ClinicPicayune, MS, CCN 258673 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 1, 2022
Jun 1, 2022

Owned or controlled facilities with NPI records 16

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

View all 16

Facilities with the same owner 16

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

View all 16

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.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1740329341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S 28TH AVE STE 326",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017152",
            "telephone_number": "601-288-1823",
            "fax_number": "601-288-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WEST MOODY STREET",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "39470",
            "telephone_number": "601-795-4543",
            "fax_number": "601-795-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORREST COUNTY GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2021-03-01",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-288-4225",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl River County Hospital and Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poplarville, MS

Sources for this page

Verify at the official NPI Registry.