TALLAHATCHIE GENERAL HOSPITAL
NPI 1194860502
Clinic/Center - Rural Health in Charleston, MS

Active since February 21, 2007CLIA 25D0029652 · Certificate of Compliance
171 DR. T T LEWIS CIRCLE, CHARLESTON, MS 38921(662) 647-5535(662) 647-8432 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2025, Dec 16, 2024, Jun 21, 2021 (3 updates tracked since 2021).

About Tallahatchie General Hospital NPPES

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

TALLAHATCHIE GENERAL HOSPITAL (NPI 1194860502), doing business as Charleston Rural Health Clinic, is a healthcare organization registered as a rural health in Charleston, Mississippi and active in the NPI registry since February 2007. The organization holds a CLIA Certificate of Compliance certificate valid through April 13, 2027 and lists Barbara Dover Crocker, Him Director, as its authorized official.

NPPES Registry Identity

NPI1194860502
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTALLAHATCHIE GENERAL HOSPITAL
Location Address171 DR. T T LEWIS CIRCLECharleston, MS 38921-2257
Mailing AddressPo Box 230Charleston, MS 38921-0240 · (662) 647-5535 · Fax (662) 647-8432
Fax(662) 647-8432
Organization SubpartNo
Authorized OfficialBarbara Dover CrockerHim Director · (662) 625-7176
Enumeration DateFebruary 21, 2007
Last NPPES UpdateApril 9, 20253 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1194860502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
171 DR. T T LEWIS CIRCLE, Charleston, MS 38921

Other Names 1

Doing Business AsCharleston Rural Health Clinic

Other Identifiers 1

Medicaid09014008MS

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)

Tallahatchie General Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

26

Medicare enrollment records show 26 clinicians reassign Medicare billing to Tallahatchie General Hospital, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner12
Internal Medicine4
Family Practice3
Emergency Medicine2
Clinical Social Worker1
General Surgery1
Nephrology1
Psychiatry1
1 other specialty1

Nearest to this location (20)

See all 26
Nurse Practitioner
NPI 1013489319
171 DR TT LEWIS CIR
Charleston, MS 38921
(662) 647-5816
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1063092724
171 DR TT LEWIS CIR
Charleston, MS 38921
(662) 647-5535
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013559426
401 S CHURCH ST
Charleston, MS 38921
(662) 647-5816
✔ PECOS✔ Accepts Medicare3.2 mi
Registered Dietitian or Nutrition Professional
NPI 1679124713
401 S CHURCH ST
Charleston, MS 38921
(662) 625-7110
✔ Accepts Medicare3.2 mi
Family Practice
NPI 1003921172
201 S. MARKET ST.
Charleston, MS 38921
(662) 625-7118
✔ PECOS✔ Accepts Medicare3.3 mi
Nurse Practitioner
NPI 1013841915
171 DR TT LEWIS CIR
Charleston, MS 38921
(662) 607-5529
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1942083548
171 DR. T T LEWIS CIRCLE
Charleston, MS 38921
(662) 647-5816
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1457761611
205 ALMA ST
Tutwiler, MS 38963
(662) 345-8334
✔ PECOS✔ Accepts Medicare18 mi
Family Practice
NPI 1558305722
1301 SUNSET DR SUITE E
Grenada, MS 38901
(662) 229-0069
✔ PECOS✔ Accepts Medicare23 mi
Family Practice
NPI 1427004704
1300 SUNSET DR SUITE A
Grenada, MS 38901
(662) 227-4463
✔ PECOS23 mi
Internal Medicine
NPI 1518980887
1300 SUNSET DRIVE SUITE A
Grenada, MS 38901
(662) 226-1646
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1205441375
1117 SUNSET DR STE 104
Grenada, MS 38901
(662) 226-0110
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1558590430
960 AVENT DR
Grenada, MS 38901
(662) 227-6426
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1740734680
171 LAKEWOOD DR 1
Batesville, MS 38606
(622) 655-0311
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1861845950
340 VAN DORN ST
Grenada, MS 38901
(662) 417-7540
✔ PECOS✔ Accepts Medicare24 mi
Nephrology
NPI 1154483394
35 W MONROE ST
Grenada, MS 38901
(662) 226-8229
✔ PECOS✔ Accepts Medicare24 mi
Clinical Social Worker
NPI 1861701740
122 DESOTO AVE STE 109
Clarksdale, MS 38614
(662) 592-5397
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1063280923
619 S STATE ST
Clarksdale, MS 38614
(662) 966-1012
✔ PECOS✔ Accepts Medicare29 mi
Emergency Medicine
NPI 1699745133
1300 ACCESS RD SUITE 300
Oxford, MS 38655
(662) 232-8005
✔ PECOS✔ Accepts Medicare42 mi
Psychiatry
NPI 1427032754
492 BARNES LANDING RD
Greenville, MS 38703
(662) 378-8889
✔ PECOS✔ Accepts Medicare66 mi
See all 26 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 25D0029652

Tallahatchie General Hospital · Charleston, MS
Active · expires Apr 13, 2027
CLIA Number25D0029652
Laboratory TypeHospital
Certificate Effective DateApril 14, 2025
Certificate Expiration DateApril 13, 2027
Laboratory DirectorAndrew Ayers Martin
Laboratory Phone(662) 625-7129
Laboratory LocationTallahatchie General Hospital141 Dr T T Lewis Circle, Charleston, MS 38921
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.

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 Tallahatchie General Hospital's NPI number?

The NPI number for Tallahatchie General Hospital is 1194860502. It was assigned to this organization in the NPPES registry on February 21, 2007. The provider is doing business as Charleston Rural Health Clinic.

Where is Tallahatchie General Hospital located?

Tallahatchie General Hospital is located at 171 Dr. T T Lewis Circle, Charleston, MS 38921. The listed phone number is (662) 647-5535.

What is Tallahatchie General Hospital's specialty?

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

Is Tallahatchie General Hospital enrolled in Medicare?

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

How many clinicians bill Medicare through Tallahatchie General Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 9 Medicare specialties reassign their Medicare billing to Tallahatchie 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 (12), Internal Medicine (4) and Family Practice (3). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tallahatchie General Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0029652) is associated with this NPI, valid through April 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tallahatchie 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 3 other insurers list Tallahatchie 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 Tallahatchie General Hospital was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.