NPIMap

Organization Active NPI

North Mississippi Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ashland, MS
National Provider Identifier
1821092552
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
15021 Issued in MS
Legal business name
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Practice address
15921 Boundary Dr
Ashland, MS 38603-7740
Phone
(662) 224-8951
Fax
(662) 224-6801
NPI assigned
Jun 10, 2005
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
William Hardee Stone
Title
Ceo
Phone
(662) 224-8951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 15021 MS Primary

Addresses

Primary practice location

15921 Boundary Dr
Ashland, MS 38603-7740

Mailing address

PO Box 92
Ashland, MS 38603-0092
Phone (662) 224-8951

Other identifiers 1

IdentifierTypeStateIssuer
09011971MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20040823000543 MS Part A Provider - Federally Qualified Health Center (FQHC) 3274513528 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Corinth, MS
O20100414000677 MS Part B Supplier - Clinic/Group Practice 3274513528 Receives reassigned benefits from 41 practitioners
4 other NPIs on this enrollment
Practice locations: Ashland, MS; Walnut, MS; Oxford, MS; Holly Springs, MS
O20100826001084 MS Part A Provider - Federally Qualified Health Center (FQHC) 3274513528 1 other NPI on this enrollment
Practice locations: Tishomingo, MS
O20110317000495 MS Part A Provider - Federally Qualified Health Center (FQHC) 3274513528 Practice locations: Ashland, MS
O20140925000237 MS Part A Provider - Federally Qualified Health Center (FQHC) 3274513528 1 other NPI on this enrollment
Practice locations: Ripley, MS
O20140925001515 MS Part A Provider - Federally Qualified Health Center (FQHC) 3274513528 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Booneville, MS

NPI to CCN mapping 5

The Medicare certification numbers (CCNs) connected to NPI 1821092552. Details of each certification follow.

Federally qualified health center certification: CCN 251937

Legal name
NORTH MISSISSIPPI PRIMARY HEALTH CARE INC
Doing business as
CORINTH COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 1, 2004
Last certification
Sep 1, 2004
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Sep 10, 1984 in MS
Enrollment address
1010 S Harper Rd
Corinth, MS 38834-6613

Federally qualified health center certification: CCN 251003

Legal name
NORTH MISSISSIPPI PRIMARY HEALTH CARE INC
Doing business as
TISHOMINGO HEALTH CARE ASSOCIATES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 30, 2010
Last certification
Aug 30, 2010
Ownership / control type
For profit – corporation
Organization structure
CorporationProprietary
Incorporated
Sep 10, 1984 in MS
Enrollment address
1310 Main Street
Tishomingo, MS 38873-8743

Federally qualified health center certification: CCN 251825

Legal name
NORTH MISSISSIPPI PRIMARY HEALTH CARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 17, 1992
Last certification
Jul 17, 1992
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Sep 10, 1984 in MS
Enrollment address
15921 Boundary Dr
Ashland, MS 38603-7740

Federally qualified health center certification: CCN 251867

Legal name
NORTH MISSISSIPPI PRIMARY HEALTH CARE INC
Doing business as
RIPLEY HEALTH CARE ASSOCIATES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 4, 1998
Last certification
Nov 4, 1998
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 10, 1984 in MS
Enrollment address
749 S Line St
Ripley, MS 38663-2811

Federally qualified health center certification: CCN 251877

Legal name
NORTH MISSISSIPPI PRIMARY HEALTH CARE INC
Doing business as
BOONEVILLE COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 4, 2001
Last certification
Jan 4, 2001
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 10, 1984 in MS
Enrollment address
208 N 1St St
Booneville, MS 38829-2718
Related CCNs
251825

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

Other NPIs with the same Medicare PAC ID 10

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

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory
Part of
North Benton County HLT

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1705 Crescent Meadows Dr
Holly Springs, MS 38635
Phone (662) 502-3149

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
Lewis Errol Davis Individual Corporate Director Jan 1, 2008
Corporate DirectorBoard Member Jan 1, 2007
Corporate DirectorBoard Member Jan 1, 2002
Tim Watson Individual Corporate DirectorBoard Member Jan 1, 2016
Corporate DirectorBoard Member Jul 1, 2017
Corporate DirectorBoard Member Oct 1, 2017
Anthony L Farese Individual Corporate DirectorBoard Member Jan 1, 2016
Bonnie B Martindale Individual Corporate DirectorBoard Member Jan 1, 2019
Corporate OfficerBoard Member Jan 1, 2019
North Mississippi Primary Health Care Inc Organization, Ashland, MS Non-profit Other Sep 1, 2004
Operational/Managerial Control May 1, 1985
Operational/Managerial Control Jan 4, 2001
William H Stone Individual Corporate Officer Jul 25, 2023
Corporate Director Jul 25, 2023
W-2 Managing Employee Jul 25, 2023
Corporate OfficerCeo Jul 25, 2023
Corporate DirectorCeo Jul 25, 2023
W-2 Managing EmployeeCeo Jul 25, 2023
Frederick Steve Bostick Individual Corporate Director Jan 1, 2000
Corporate DirectorBoard Member Jan 1, 1996
Corporate DirectorBoard Member Jan 1, 1998
Willie R Daugherty Individual Corporate DirectorBoard Member Jul 1, 2017
Corporate DirectorBoard Member Aug 1, 2018
Shelley M Akins Individual Corporate Director Aug 1, 2018
Corporate DirectorBoard Member Aug 1, 2018
Gary Dunnam Individual Corporate DirectorBoard Member Jan 1, 2016
Corporate DirectorBoard Member Oct 1, 2017
Corporate DirectorBoard Member Dec 1, 2017
Jackie L McKenzie Individual Corporate DirectorBoard Member Jan 1, 2016
Corporate DirectorBoard Member Dec 1, 2017
Corporate DirectorBoard Member Oct 1, 2017
Mary Tucker Individual Corporate Director Jan 1, 2000
Corporate DirectorBoard Member Jan 1, 1997
Corporate DirectorBoard Member Jan 1, 2000

Owners & managing parties with NPI records 10

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

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
Corinth Community Health CenterCorinth, MS, CCN 251937 Federally qualified health center Other Sep 1, 2004
Booneville Community Health CenterBooneville, MS, CCN 251877 Federally qualified health center Operational/Managerial Control Jan 4, 2001
Walnut Medical CenterWalnut, MS, CCN 251853 Federally qualified health center Operational/Managerial Control (100%) Sep 14, 1995
New Albany Health Care AssociatesNew Albany, MS, CCN 251042 Federally qualified health center Operational/Managerial Control (100%) May 19, 2016
Charger Health and WellnessOxford, MS, CCN 251116 Federally qualified health center Operational/Managerial Control (100%) May 1, 1985
Ashland Multispecialty Telehealth and Administration BuildingAshland, MS, CCN 251167 Federally qualified health center Operational/Managerial Control (100%) May 1, 1985
Nmphc Holly SpringsHolly Springs, MS, CCN 251168 Federally qualified health center Operational/Managerial Control (100%) May 1, 1985

Owned or controlled facilities with NPI records 9

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

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Practitioners 41

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 41

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1821092552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "ASHLAND",
            "state": "MS",
            "postal_code": "386030092",
            "telephone_number": "662-224-8951",
            "fax_number": "662-224-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15921 BOUNDARY DR",
            "city": "ASHLAND",
            "state": "MS",
            "postal_code": "386037740",
            "telephone_number": "662-224-8951",
            "fax_number": "662-224-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.",
        "enumeration_date": "2005-06-10",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HARDEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-224-8951"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MS",
            "license": "15021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09011971",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, MS

Sources for this page

Verify at the official NPI Registry.