North Mississippi Primary Health Care, Inc.
Organization Active NPI Family Nurse Practitioner · Ashland, MS
NPI 1972065829 · NPPES record last updated Aug 31, 2026
Key facts
- NPI
- 1972065829
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- 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
- Apr 1, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Authorized official
- Name
- William Hardee Stone
- Title
- Ceo
- Phone
- (662) 224-8951
Owners & managing parties with NPI records 11
Other NPIs on the same Medicare enrollment 5
Practitioners 4
-
Jennifer Dawn Hopper, FNP-C
-
Brittany Alaina Crowell Miller, AGACNP-BC, FNP-C
-
Corinna Orange, LCSW
-
Hart Katherine Wylie, PMHNP, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MS
Federally qualified health center certification: CCN 251116
- Legal name
- NORTH MISSISSIPPI PRIMARY HEALTH CARE INC
- Doing business as
- CHARGER HEALTH AND WELLNESS
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- May 24, 2021
- Last certification
- May 24, 2021
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 399 N 5TH St
Oxford, MS 38655-3600
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Bonnie B Martindale |
Corporate Officer |
Jan 1, 2019 | |
| North Mississippi Primary Health Care Inc |
Operational/Managerial Control | May 1, 1985 | 100% |
| William H Stone |
Corporate Officer |
Jul 24, 2023 | |
| W-2 Managing Employee |
Jul 24, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100414000677 | MS | Part B Supplier - Clinic/Group Practice | 3274513528 |
Receives reassigned benefits from 41 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ashland, MS; Walnut, MS; Oxford, MS; Holly Springs, MS |
| O20210527001293 | 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: Oxford, MS |
National Provider Directory
- Part of
- North Benton Cty HLTH C
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09011971 | Medicaid | MS |
Other names
- NORTH MS PRIMARY HEALTH CARE, INC. MOBILE UNIT
Other providers in Ashland, MS
- North Mississippi Primary Health Care, Inc.
- North Mississippi Primary Health Care, Inc.
- North Mississippi Primary Health Care, Inc.
- North Mississippi Primary Health Care, Inc.
- North Mississippi Primary Health Care, Inc.
- Leigh Jarvis Orozco
- Sandra Fay Panzo
- Barbara Ett Perry
- Wendy Regina Reece
- Joyce L Smith
All providers in Ashland, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.