COPIAH COUNTY MEDICAL CENTER
NPI 1083039663
General Acute Care Hospital - Critical Access in Hazlehurst, MS

Active since February 19, 2014CLIA 25D0029746 · Certificate of Compliance
27190 HIGHWAY 28, HAZLEHURST, MS 39083(601) 574-7000(601) 574-7216 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2024, Mar 13, 2017 (2 updates tracked since 2017).

About Copiah County Medical Center NPPES

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

COPIAH COUNTY MEDICAL CENTER (NPI 1083039663) is a healthcare organization registered as a critical access in Hazlehurst, Mississippi and active in the NPI registry since February 2014. The organization holds a CLIA Certificate of Compliance certificate valid through March 3, 2027 and lists Kortney Gaddy, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1083039663
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameCOPIAH COUNTY MEDICAL CENTER
Location Address27190 HIGHWAY 28Hazlehurst, MS 39083-2224
Mailing Address27190 Highway 28Hazlehurst, MS 39083-2224 · (601) 574-7000 · Fax (601) 574-7216
Fax(601) 574-7216
Organization SubpartNo
Authorized OfficialKortney GaddyChief Financial Officer · (601) 574-7000
Enumeration DateFebruary 19, 2014
Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1083039663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code282NC0060X
27190 HIGHWAY 28, Hazlehurst, MS 39083

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)

Copiah County Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

85

Medicare enrollment records show 85 clinicians reassign Medicare billing to Copiah County Medical Center, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Emergency Medicine21
Critical Care (Intensivists)15
Nurse Practitioner12
Family Practice10
Internal Medicine10
Anesthesiology7
Pulmonary Disease4
Certified Registered Nurse Anesthetist (CRNA)3
2 other specialties3

Nearest to this location (20)

See all 85
Emergency Medicine
NPI 1144261793
233 MAGNOLIA ST
Hazlehurst, MS 39083
(800) 291-4020
✔ PECOS✔ Accepts Medicare1.6 mi
Family Practice
NPI 1235231606
213 CALDWELL DR
Hazlehurst, MS 39083
(601) 894-4661
✔ PECOS✔ Accepts Medicare1.6 mi
Family Practice
NPI 1891897260
213 CALDWELL DRIVE
Hazlehurst, MS 39083
(601) 894-4661
✔ PECOS✔ Accepts Medicare1.6 mi
Family Practice
NPI 1285863886
213 CALDWELL DR
Hazlehurst, MS 39083
(601) 894-4661
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1740767920
213 CALDWELL DR
Hazlehurst, MS 39083
(601) 894-4661
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1285129833
213 CALDWELL DR
Hazlehurst, MS 39083
(601) 894-4661
✔ PECOS✔ Accepts Medicare1.6 mi
Family Practice
NPI 1649216680
233 MAGNOLIA ST
Hazlehurst, MS 39083
(800) 291-4020
✔ PECOS✔ Accepts Medicare1.7 mi
Family Practice
NPI 1679514863
233 MAGNOLIA ST
Hazlehurst, MS 39083
(800) 291-4020
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1538582531
1096 BEECH ST
Wesson, MS 39191
(601) 643-6006
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1699339200
1007 W CONGRESS ST
Brookhaven, MS 39601
(601) 833-9388
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1962263764
3434 CHOCTAW RD NE
Brookhaven, MS 39601
(601) 669-6446
✔ PECOS✔ Accepts Medicare26 mi
Emergency Medicine
NPI 1215137096
1842 SIMPSON HIGHWAY 149
Mendenhall, MS 39114
(601) 847-2424
✔ PECOS✔ Accepts Medicare29 mi
Anesthesiology
NPI 1326139726
1190 N STATE ST STE 300
Jackson, MS 39202
(601) 709-0607
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1053630806
1225 N STATE ST
Jackson, MS 39202
(601) 968-1031
✔ PECOS✔ Accepts Medicare33 mi
Pulmonary Disease
NPI 1518052257
2500 N STATE ST DIVISION OF PULMONARY, CRITICAL CARE, AND SLEEP MED
Jackson, MS 39216
(601) 984-5650
✔ PECOS✔ Accepts Medicare33 mi
Anesthesiology
NPI 1952780967
2500 N STATE ST
Jackson, MS 39216
(601) 984-5900
✔ PECOS✔ Accepts Medicare33 mi
Internal Medicine
NPI 1083025324
2500 N STATE ST
Jackson, MS 39216
(601) 815-2005
✔ PECOS✔ Accepts Medicare33 mi
Emergency Medicine
NPI 1396088209
2500 N STATE ST C/O DEPARTMENT OF EMERGENCY MEDICINE
Jackson, MS 39216
(601) 984-5570
✔ PECOS✔ Accepts Medicare33 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1760578843
2500 N STATE ST PFS
Jackson, MS 39216
(601) 944-4619
✔ PECOS✔ Accepts Medicare33 mi
Family Practice
NPI 1881034254
2506 LAKELAND DR STE 310
Flowood, MS 39232
(321) 229-8868
✔ PECOS✔ Accepts Medicare35 mi
See all 85 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

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 25D0029746

Copiah County Medical Center · Hazlehurst, MS
Active · expires Mar 3, 2027
CLIA Number25D0029746
Laboratory TypeHospital
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorWilliam D. Payne
Laboratory Phone(601) 574-7000
Laboratory LocationCopiah County Medical Center27190 Hwy 28, Hazlehurst, MS 39083
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.

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 Copiah County Medical Center's NPI number?

The NPI number for Copiah County Medical Center is 1083039663. It was assigned to this organization in the NPPES registry on February 19, 2014.

Where is Copiah County Medical Center located?

Copiah County Medical Center is located at 27190 Highway 28, Hazlehurst, MS 39083. The listed phone number is (601) 574-7000.

What is Copiah County Medical Center's specialty?

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

Is Copiah County Medical Center enrolled in Medicare?

Yes. Copiah County Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Copiah County Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 85 clinicians in 10 Medicare specialties reassign their Medicare billing to Copiah County Medical Center. 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 Emergency Medicine (21), Critical Care (Intensivists) (15) and Nurse Practitioner (12). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Copiah County Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0029746) is associated with this NPI, valid through March 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Copiah County Medical Center accept?

Health plans from Cigna Healthcare and Molina Healthcare list Copiah County Medical Center 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 Copiah County Medical Center was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.