NPIMap

Organization Active NPI

Noxubee General Critical Access Hospital

  • Critical Access Hospital
  • Macon, MS
National Provider Identifier
1902844194
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
11-081 Issued in MS
Legal business name
NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL
Practice address
78 Hospital Rd
Macon, MS 39341-2490
Phone
(662) 726-4231
Fax
(662) 726-5784
NPI assigned
Jun 2, 2006
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Jeremy Cummins
Title
Ceo
Phone
(662) 726-4231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 11-081 MS Primary

Addresses

Primary practice location

78 Hospital Rd
Macon, MS 39341-2490

Mailing address

PO Box 480
Macon, MS 39341-0480
Phone (662) 726-4231

Other identifiers 3

IdentifierTypeStateIssuer
00029041MedicaidMS
00020041MedicaidMS
09012439MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100407000426 MS Part A Provider - Critical Access Hospital 9335130798 Practice locations: Macon, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902844194. Details of each certification follow.

Hospital certification: CCN 251307

Legal name
NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2002
Last certification
Sep 28, 2023
Beds
25
Ownership / control type
State
Organization structure
OtherNon-profit
Enrollment address
78 Hospital Rd
Macon, MS 39341-2490
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Noxubee General Critical Access HospCCN 251307 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Noxubee General Hospita7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

78 Hospital Rd
Macon, MS 39341
Phone (662) 726-4231

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 EmployeeAdministrator Jul 7, 2020
Operational/Managerial Control Jul 7, 2020

Practitioners & affiliated clinicians

Practitioners 11

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 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1902844194",
    "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": "662-726-4231",
            "fax_number": "662-726-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 HOSPITAL RD",
            "city": "MACON",
            "state": "MS",
            "postal_code": "393412490",
            "telephone_number": "662-726-4231",
            "fax_number": "662-726-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "CUMMINS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-726-4231"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MS",
            "license": "11-081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00029041",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00020041",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09012439",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, MS

Sources for this page

Verify at the official NPI Registry.