SOUTH SUNFLOWER COUNTY HOSPITAL
NPI 1184679292
General Acute Care Hospital in Indianola, MS
About South Sunflower County Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH SUNFLOWER COUNTY HOSPITAL (NPI 1184679292) is a healthcare organization registered as a general acute care hospital in Indianola, Mississippi and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through February 17, 2027 and lists Courtney R Phillips, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Sunflower County Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 2
Next revalidation due by February 28, 2027
This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
89Medicare enrollment records show 89 clinicians reassign Medicare billing to South Sunflower County Hospital, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 89Source: 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 25D0316816
South Sunflower County Hospital · Indianola, MSHospital Quality Ratings CMS Care Compare
Quality and patient-experience ratings for South Sunflower County Hospital (CMS certification number 250095), from CMS Care Compare.
South Sunflower County Hospital
Acute Care Hospitals · Indianola, MSComplications & Deaths 11
Unplanned Hospital Visits 10
Timely & Effective Care 11
Maternal Health 2
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 South Sunflower County Hospital's NPI number?
The NPI number for South Sunflower County Hospital is 1184679292. It was assigned to this organization in the NPPES registry on May 24, 2006.
Where is South Sunflower County Hospital located?
South Sunflower County Hospital is located at 121 E Baker St, Indianola, MS 38751. The listed phone number is (662) 887-5235.
What is South Sunflower County Hospital's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.
Is South Sunflower County Hospital enrolled in Medicare?
Yes. South Sunflower County Hospital is registered in the Medicare PECOS enrollment system.
When is South Sunflower County Hospital's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), South Sunflower County Hospital holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by February 28, 2027 (Part A, Mississippi, Hospital). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through South Sunflower County Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 89 clinicians in 11 Medicare specialties reassign their Medicare billing to South Sunflower County 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 Emergency Medicine (28), Nurse Practitioner (18) and Certified Registered Nurse Anesthetist (CRNA) (16). Of these, 6 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Sunflower County Hospital hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 25D0316816) is associated with this NPI, valid through February 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is South Sunflower County Hospital a Medicare-certified hospital?
Yes. South Sunflower County Hospital is a Medicare-certified hospital (Acute Care Hospitals). The hospital provides emergency services.
What insurance does South Sunflower County 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 South Sunflower County 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 South Sunflower County Hospital was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# South Sunflower County Hospital · NPI 1184679292
General Acute Care Hospital organization in Indianola, Mississippi. Organization record, active in the CMS NPPES registry since May 24, 2006.
## Identity
- **NPI:** 1184679292 (Entity type: Organization)
- **Enumerated:** May 24, 2006
- **Primary specialty:** General Acute Care Hospital · taxonomy 282N00000X
- **Organization subpart:** No
- **Authorized official:** Courtney Phillips, ADMINISTRATOR
## Practice location
- **Address:** 121 E BAKER ST, Indianola, MS 38751-2450
- **Phone:** (662) 887-5235 · **Fax:** (662) 887-4111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Part A, Mississippi, Hospital), next of 2 enrollments with upcoming dates · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 89 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (28), Nurse Practitioner (18), Certified Registered Nurse Anesthetist (CRNA) (16); 6 practice at this address and 13 within 10 miles; [full list](https://npiprofile.com/npi/1184679292/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 14, 2021
- **Other identifiers:** Other 000020032 (MS); Medicaid 00020032 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184679292) · Data from the CMS NPPES public registry.