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JEFFERSON DAVIS COMMUNITY HOSPITAL FAMILY PRACTICE CLINIC
NPI 1043241946
Clinic/Center - Rural Health in Prentiss, MS

Active since July 06, 2006CLIA 25D0651947 · Certificate of Compliance
1014 ROSE ST, SUITE A, PRENTISS, MS 39474(601) 792-4276(601) 792-2947 Get Directions Write a Review

NPPES record last updated: January 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jefferson Davis Community Hospital Family Practice Clinic NPPES

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

JEFFERSON DAVIS COMMUNITY HOSPITAL FAMILY PRACTICE CLINIC (NPI 1043241946) is a healthcare organization registered as a rural health in Prentiss, Mississippi and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 11, 2027 and lists Mary Curtis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043241946
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePRENTISS REGIONAL HOSPITAL AND EXTENDED CARE FACILITY, INC.
Location Address1014 ROSE ST, SUITE APrentiss, MS 39474
Mailing AddressP.o. Box 1288Prentiss, MS 39474 · (601) 792-4276 · Fax (601) 792-2947
Phone(601) 792-4276
Fax(601) 792-2947
Organization SubpartNo
Authorized OfficialMary CurtisCeo · (601) 792-4276
Enumeration DateJuly 6, 2006
Last NPPES UpdateJanuary 14, 2008
✔ NPI 1043241946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in MS · 16-179
1014 ROSE ST, Prentiss, MS 39474
Open in Google Maps ↗

Other Names 1

Doing Business AsJefferson Davis Community Hospital Family Practice Clinic

Other Identifiers 2

Medicare ID-Type Unspecified25-8523MS · Rural Health Clinic
Medicaid04431581MS

CLIA Laboratory Certificates CMS CLIA

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 25D0651947

Jefferson Davis Community Hospital · Prentiss, MS
Active · expires Jan 11, 2027
CLIA Number25D0651947
Laboratory TypeHospital
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorDr. Andrew L. Dunn
Laboratory Phone(601) 792-1168
Laboratory LocationJefferson Davis Community Hospital1102 Rose Street, Prentiss, MS 39474
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RHONDA COX MSN, FNP-C/AGACNP-BC
Nurse Practitioner
1014 ROSE ST
PRENTISS, MS 39474
Jefferson Davis County (601) 792-2071
MRS. MICHELE BRYANT MAHAFFEY FNP
Nurse Practitioner (Family)
1014 ROSE ST, SUITE A
PRENTISS, MS 39474
Jefferson Davis County (601) 792-2200
MARY SUE WATKINS CFNP
Nurse Practitioner
1014 ROSE ST
PRENTISS, MS 39474
Jefferson Davis County (601) 792-2071
LAURA JACKSON MILLER M.D.
Family Medicine
1014 ROSE ST
PRENTISS, MS 39474
Jefferson Davis County (601) 792-2071
FORREST COUNTY GENERAL HOSPITAL
Clinic/Center (Rural Health)
1014 ROSE ST, SUITE A
PRENTISS, MS 39474
Jefferson Davis County (601) 792-2202

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 Prentiss Regional Hospital And Extended Care Facility, Inc.'s NPI number?

The NPI number for Prentiss Regional Hospital And Extended Care Facility, Inc. is 1043241946. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as Jefferson Davis Community Hospital Family Practice Clinic.

Where is Prentiss Regional Hospital And Extended Care Facility, Inc. located?

Prentiss Regional Hospital And Extended Care Facility, Inc. is located at 1014 Rose St Suite A, Prentiss, MS 39474. The listed phone number is (601) 792-4276.

What is Prentiss Regional Hospital And Extended Care Facility, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Prentiss Regional Hospital And Extended Care Facility, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0651947) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prentiss Regional Hospital And Extended Care Facility, Inc. was last updated on January 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.