Organization Active NPI

North Mississippi Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ripley, MS
National Provider Identifier
1992190367
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 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
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 H Stone
Title
Ceo
Phone
(662) 224-8951

Specialties & licenses 1

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

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

Medicare participation

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

Enrollment records 2

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992190367. Details of each certification follow.

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

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 1

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

National Provider Directory

National Provider Directory
Tax ID family
No Ms Primary HLTH Care Inc16 organizations share this tax ID, including this one
Part of
No Ms Primary HLTH Care Inc

Other organizations with this tax ID 15

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

View all 15

Locations

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

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

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 DirectorBoard Member Jan 1, 2002
Tim Watson Individual Corporate DirectorBoard Member Oct 1, 2017
Anthony L Farese Individual Corporate DirectorBoard Member Jan 1, 2016
Bonnie B Martindale Individual Corporate OfficerBoard 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 OfficerCeo Jul 25, 2023
Corporate DirectorCeo Jul 25, 2023
W-2 Managing EmployeeCeo Jul 25, 2023
Frederick Steve Bostick Individual Corporate DirectorBoard Member Jan 1, 1998
Willie R Daugherty Individual Corporate DirectorBoard Member Aug 1, 2018
Shelley M Akins Individual Corporate DirectorBoard Member Aug 1, 2018
Gary Dunnam Individual Corporate DirectorBoard Member Dec 1, 2017
Jackie L McKenzie Individual Corporate DirectorBoard Member Oct 1, 2017
Mary Tucker Individual 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 8

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
Ripley Health Care AssociatesRipley, MS, CCN 251867 Federally qualified health center Operational/Managerial Control May 1, 1985
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.

Practitioners & affiliated clinicians

Practitioners 39

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 39

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1992190367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15921 BOUNDARY DR",
            "address_2": "PO BOX 92",
            "city": "ASHLAND",
            "state": "MS",
            "postal_code": "386037740",
            "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": "749 S LINE ST",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386632811",
            "telephone_number": "662-837-0000",
            "fax_number": "662-837-7003"
        }
    ],
    "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": "2015-04-02",
        "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": "H",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, MS

Sources for this page

Verify at the official NPI Registry.