NPIMap

Organization Active NPI

North Mississippi Primary Health Care, Inc.

Doing business as North Ms Primary Health Care, Inc. Mobile Unit

  • Family Nurse Practitioner
  • Ashland, MS
National Provider Identifier
1972065829
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Doing business as
North Ms Primary Health Care, Inc. Mobile Unit
Practice address
15921 Boundary Dr
Ashland, MS 38603-7740
Phone
(662) 224-8951
Fax
(662) 224-6801
NPI assigned
Apr 1, 2019
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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 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 names 1

  • NORTH MS PRIMARY HEALTH CARE, INC. MOBILE UNIT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972065829. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
399 N 5TH St
Oxford, MS 38655-3600

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Part of
No Ms Primary HLTH Care Inc

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Bonnie B Martindale Individual Corporate OfficerBoard Member Jan 1, 2019
North Mississippi Primary Health Care Inc Organization, Oxford, MS Non-profit Operational/Managerial Control May 1, 1985 100%
William H Stone Individual Corporate OfficerCeo Jul 24, 2023
W-2 Managing EmployeeCeo Jul 24, 2023

Owners & managing parties with NPI records 11

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

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1972065829",
    "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": "2019-04-01",
        "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": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH MS PRIMARY HEALTH CARE, INC. MOBILE UNIT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, MS

Sources for this page

Verify at the official NPI Registry.