PEARL RIVER COUNTY HOSPITAL
NPI 1003026717
General Acute Care Hospital - Critical Access in Poplarville, MS

Active since May 23, 2007CLIA Certified · 2 labs
305 W MOODY ST, POPLARVILLE, MS 39470(601) 795-4543(601) 795-4238 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 20, 2020, Aug 21, 2018 (2 updates tracked since 2018).

About Pearl River County Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEARL RIVER COUNTY HOSPITAL (NPI 1003026717) is a healthcare organization registered as a critical access in Poplarville, Mississippi and active in the NPI registry since May 2007. The organization holds 2 active CLIA laboratory certificates and lists Ben Hester, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003026717
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameFORREST COUNTY GENERAL HOSPITAL
Location Address305 W MOODY STPoplarville, MS 39470
Mailing Address125 S 28th Ave Ste 326Hattiesburg, MS 39401-7152 · (601) 288-1823 · Fax (601) 288-4360
Fax(601) 795-4238
Organization SubpartYes
Authorized OfficialBen HesterCfo · (601) 288-4225
Enumeration DateMay 23, 2007
Last NPPES UpdateApril 20, 20202 updates tracked since enumeration
NPPES CertifiedApril 20, 2020
✔ NPI 1003026717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code282NC0060X
License✔ Licensed in MS · 21087
305 W MOODY ST, Poplarville, MS 39470

Other Names 1

Doing Business AsPearl River County Hospital

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pearl River County Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

247

Medicare enrollment records show 247 clinicians reassign Medicare billing to Pearl River County Hospital, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 27

Nurse Practitioner69
Family Practice31
Neurology26
Psychiatry25
Internal Medicine17
Hospitalist10
Interventional Cardiology9
Cardiovascular Disease (Cardiology)8
19 other specialties52

Nearest to this location (20)

See all 247
Nurse Practitioner
NPI 1821578097
305 W MOODY ST
Poplarville, MS 39470
(601) 795-0659
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1740766252
302 HIGHWAY 11 S
Poplarville, MS 39470
(601) 403-8971
✔ PECOS✔ Accepts Medicare0.7 mi
Family Practice
NPI 1710551908
302 HIGHWAY 11 S
Poplarville, MS 39470
(601) 403-8284
✔ PECOS✔ Accepts Medicare1.3 mi
Pediatric Medicine
NPI 1407112089
146 HIGHLAND PKWY
Picayune, MS 39466
(601) 358-9765
✔ PECOS2.3 mi
Family Practice
NPI 1023122900
1407 S MAIN ST
Poplarville, MS 39470
(601) 795-0659
✔ PECOS✔ Accepts Medicare2.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1740438399
33 SCENIC MEADOW DR
Carriere, MS 39426
(601) 569-4818
✔ PECOS✔ Accepts Medicare15 mi
Family Practice
NPI 1598269920
102 SHELBY SPEIGHTS DR
Purvis, MS 39475
(601) 794-8065
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1285108662
200 COUNTRY CLUB RD
Carriere, MS 39426
(601) 799-4777
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1326584822
200 COUNTRY CLUB RD
Carriere, MS 39426
(601) 799-4777
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1245348689
1702 A HWY 11 NORTH
Picayune, MS 39466
(601) 799-3130
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1639686371
146 HIGHLAND PKWY STE A
Picayune, MS 39466
(601) 358-9832
✔ PECOS22 mi
Family Practice
NPI 1124656848
146 HIGHLAND PKWY
Picayune, MS 39466
(601) 358-9765
✔ PECOS22 mi
Nurse Practitioner
NPI 1376504357
1911 READ RD
Picayune, MS 39466
(601) 251-3500
✔ PECOS✔ Accepts Medicare23 mi
Family Practice
NPI 1023121555
1702 HWY 11 N STE A
Picayune, MS 39466
(601) 799-3130
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1457233439
801 HIGHWAY 11 S STE C
Picayune, MS 39466
(769) 242-3185
✔ PECOS✔ Accepts Medicare23 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1053447037
801 GOODYEAR BLVD
Picayune, MS 39466
(601) 798-4711
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1316464266
417 W CANAL ST
Picayune, MS 39466
(601) 864-1336
✔ PECOS24 mi
Nurse Practitioner
NPI 1154178416
1702 HIGHWAY 11 N
Picayune, MS 39466
(601) 799-3130
✔ PECOS✔ Accepts Medicare27 mi
Family Practice
NPI 1114930468
90 SUMMER PL
Hattiesburg, MS 39402
(601) 520-2501
✔ PECOS30 mi
Internal Medicine
NPI 1689698318
914 SUMRALL RD
Columbia, MS 39429
(601) 731-1470
✔ PECOS✔ Accepts Medicare32 mi
See all 247 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 25D0030156

Pearl River County Hospital · Poplarville, MS
Active · expires Apr 18, 2028
CLIA Number25D0030156
Laboratory TypeHospital
Certificate Effective DateApril 19, 2026
Certificate Expiration DateApril 18, 2028
Laboratory DirectorDr. Shawn J. Ledoux
Laboratory Phone(601) 795-4543
Laboratory LocationPearl River County Hospital305 West Moody Street, Poplarville, MS 39470
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 25D2191805

Pearl River County Nursing Home · Poplarville, MS
Active · expires Aug 31, 2028
CLIA Number25D2191805
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorAmanda L. Dill
Laboratory Phone(601) 240-2016
Laboratory LocationPearl River County Nursing Home305 W Moody St, Poplarville, MS 39470
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Forrest County General Hospital's NPI number?

The NPI number for Forrest County General Hospital is 1003026717. It was assigned to this organization in the NPPES registry on May 23, 2007. The provider is doing business as Pearl River County Hospital.

Where is Forrest County General Hospital located?

Forrest County General Hospital is located at 305 W Moody St, Poplarville, MS 39470. The listed phone number is (601) 795-4543.

What is Forrest County General Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Forrest County General Hospital enrolled in Medicare?

Yes. Forrest County General Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Forrest County General Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 247 clinicians in 27 Medicare specialties reassign their Medicare billing to Forrest County General Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (69), Family Practice (31) and Neurology (26). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Forrest County General Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Forrest County General Hospital accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Forrest County General Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Forrest County General Hospital was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.