North Mississippi Primary Health Care, Inc.

Organization Active NPI Federally Qualified Health Center (FQHC) · Ripley, MS

NPI 1992190367 · NPPES record last updated Aug 31, 2026

Key facts

NPI
1992190367
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Practice address
749 S Line St
Ripley, MS 38663-2811
Phone
(662) 837-0000
Fax
(662) 837-7003
NPI assigned
Apr 2, 2015
Organization subpart
Yes
Parent organization (as reported)
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.

Authorized official

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

Owners & managing parties with NPI records 10

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

Owned or controlled facilities with NPI records 9

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

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 10

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

Corporate family (same tax ID) 15

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

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MS

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
Corporation · Non-profit
Incorporated
Sep 10, 1984 in MS
Enrollment address
749 S Line St
Ripley, MS 38663-2811

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
Board Member
Jan 1, 2002
Tim Watson
Individual
Corporate Director
Board Member
Oct 1, 2017
Anthony L Farese
Individual
Corporate Director
Board Member
Jan 1, 2016
Bonnie B Martindale
Individual
Corporate Officer
Board Member
Jan 1, 2019
North Mississippi Primary Health Care Inc
Organization · Ashland, MS
Non-profit
Operational/Managerial Control May 1, 1985
William H Stone
Individual
Corporate Officer
Ceo
Jul 25, 2023
Corporate Director
Ceo
Jul 25, 2023
W-2 Managing Employee
Ceo
Jul 25, 2023
Frederick Steve Bostick
Individual
Corporate Director
Board Member
Jan 1, 1998
Willie R Daugherty
Individual
Corporate Director
Board Member
Aug 1, 2018
Shelley M Akins
Individual
Corporate Director
Board Member
Aug 1, 2018
Gary Dunnam
Individual
Corporate Director
Board Member
Dec 1, 2017
Jackie L McKenzie
Individual
Corporate Director
Board Member
Oct 1, 2017
Mary Tucker
Individual
Corporate Director
Board Member
Jan 1, 2000

All facility ownership & control disclosures 8

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

FacilityTypeRoleSince
Corinth Community Health Center
Corinth, MS · CCN 251937
Federally qualified health center Other Sep 1, 2004
Ripley Health Care Associates
Ripley, MS · CCN 251867
Federally qualified health center Operational/Managerial Control May 1, 1985
Booneville Community Health Center
Booneville, MS · CCN 251877
Federally qualified health center Operational/Managerial Control Jan 4, 2001
Walnut Medical Center
Walnut, MS · CCN 251853
Federally qualified health center Operational/Managerial Control (100%) Sep 14, 1995
New Albany Health Care Associates
New Albany, MS · CCN 251042
Federally qualified health center Operational/Managerial Control (100%) May 19, 2016
Charger Health and Wellness
Oxford, MS · CCN 251116
Federally qualified health center Operational/Managerial Control (100%) May 1, 1985
Ashland Multispecialty Telehealth and Administration Building
Ashland, MS · CCN 251167
Federally qualified health center Operational/Managerial Control (100%) May 1, 1985
Nmphc Holly Springs
Holly Springs, MS · CCN 251168
Federally qualified health center Operational/Managerial Control (100%) May 1, 1985

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140925000237 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: Ripley, MS
O20251224002127 MS Part B Supplier - Clinic/Group Practice 3274513528 Practice locations: Ripley, MS

National Provider Directory

Tax ID family
North Benton Cty HLTH C (16 organizations share this tax ID)
Part of
North Benton Cty HLTH C

Locations

208 N 1st St
Booneville, MS 38829
Phone (601) 728-2165

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

218 Oxford Rd
#A
New Albany, MS 38652
Phone 6622248951237

749 S Line St
Ripley, MS 38663
Phone (662) 837-0000

12 Natchez St
#B
Tishomingo, MS 38873
Phone (662) 438-7474

531 Main St
Walnut, MS 38683
Phone (662) 223-4011

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

749 S Line St
Ripley, MS 38663-2811

Mailing address

15921 Boundary Dr
PO Box 92
Ashland, MS 38603-7740
Phone (662) 224-8951

Other identifiers

IdentifierTypeStateIssuer
09011971MedicaidMS

Other providers in Ripley, MS

All providers in Ripley, MS · Federally Qualified Health Center (FQHC) in Mississippi

Sources for this page

Verify at the official NPI Registry.