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CHOCTAW REGIONAL MEDICAL CENTER
NPI 1235547878
Family Medicine in Ackerman, MS

Active since July 28, 2014
64 N LOUISVILLE ST, ACKERMAN, MS 39735(662) 285-9050 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 28, 2025, Apr 20, 2022, Mar 10, 2020 (3 updates tracked since 2020).

About Choctaw Regional Medical Center NPPES

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

CHOCTAW REGIONAL MEDICAL CENTER (NPI 1235547878), doing business as Choctaw Medical Clinic Of Ackerman, is a healthcare organization registered as a family medicine in Ackerman, Mississippi and active in the NPI registry since July 2014. The organization lists Susan Hollingsworth, Administrator & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1235547878
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHOCTAW REGIONAL MEDICAL CENTER
Location Address64 N LOUISVILLE STAckerman, MS 39735-9217
Mailing Address8613 Ms Highway 12Ackerman, MS 39735-8917 · (662) 285-9460
Phone(662) 285-9050
Organization SubpartNo
Authorized OfficialSusan HollingsworthAdministrator & Credentialing · (662) 285-9460
Enumeration DateJuly 28, 2014
Last NPPES UpdateMay 28, 20253 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1235547878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
64 N LOUISVILLE ST, Ackerman, MS 39735
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Other Names 1

Doing Business AsChoctaw Medical Clinic Of Ackerman

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

68

Medicare enrollment records show 68 clinicians reassign Medicare billing to Choctaw Regional Medical Center, which bills Medicare for the services they deliver. Of these, 12 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner29
Diagnostic Radiology23
Family Practice9
Emergency Medicine4
Interventional Radiology2
Psychiatry1

Nearest to this location (20)

See all 68
Kelsie Vernon
Nurse Practitioner
NPI 1801789870
320 MS-15
Louisville, MS 39339
(662) 773-7500
✔ PECOS✔ Accepts Medicare0.5 mi
Harmon Prosser, MD
Family Practice
NPI 1073578886
64 N LOUISVILLE ST
Ackerman, MS 39735
(662) 285-9050
✔ PECOS✔ Accepts Medicare0.5 mi
Brittany Dickerson, FNP-C
Nurse Practitioner
NPI 1760959027
8613 MS HIGHWAY 12
Ackerman, MS 39735
(662) 285-9460
✔ PECOS✔ Accepts Medicare0.8 mi
Shunda Garner, MD
Emergency Medicine
NPI 1124017546
8613 MS HIGHWAY 12
Ackerman, MS 39735
(662) 285-4400
✔ PECOS✔ Accepts Medicare0.8 mi
Megan Hubbard, FNP-BC
Nurse Practitioner
NPI 1154981470
8613 MS HIGHWAY 12
Ackerman, MS 39735
(662) 285-9460
✔ PECOS✔ Accepts Medicare0.8 mi
Sandy Lieu, MD
Family Practice
NPI 1952716573
8613 MS HIGHWAY 12
Ackerman, MS 39735
(662) 285-4400
✔ PECOS✔ Accepts Medicare0.8 mi
Rushaunda Nash, FNP
Nurse Practitioner
NPI 1548643380
8613 MS HIGHWAY 12
Ackerman, MS 39735
(662) 285-9460
✔ PECOS✔ Accepts Medicare0.8 mi
Hannah Bowman, NURSE PRACTITIONER
Nurse Practitioner
NPI 1780278739
8613 MS HIGHWAY 12
Ackerman, MS 39735
(662) 285-9460
✔ PECOS✔ Accepts Medicare0.9 mi
Shannon Dobbs, DO
Emergency Medicine
NPI 1295099455
8613 MS HIGHWAY 12
Ackerman, MS 39735
(662) 285-4400
✔ PECOS✔ Accepts Medicare0.9 mi
Falan Mcknight, MD
Family Practice
NPI 1073173514
8613 MS HIGHWAY 12
Ackerman, MS 39735
(662) 285-4400
✔ PECOS✔ Accepts Medicare0.9 mi
Weston Eldridge
Family Practice
NPI 1134703366
14724 HIGHWAY 15 N
Louisville, MS 39339
(662) 773-7500
✔ PECOS✔ Accepts Medicare6.0 mi
Beverly Randle, F.N.P.
Nurse Practitioner
NPI 1184675134
14724 HIGHWAY 15 N
Louisville, MS 39339
(662) 773-7500
✔ PECOS✔ Accepts Medicare6.0 mi
Barbara Ezell
Nurse Practitioner
NPI 1649058207
14724 HIGHWAY 15 N
Louisville, MS 39339
(662) 773-7500
✔ PECOS✔ Accepts Medicare12 mi
Pamela Metts, FNP
Nurse Practitioner
NPI 1851781611
14724 HIGHWAY 15 N
Louisville, MS 39339
(662) 773-7500
✔ PECOS✔ Accepts Medicare12 mi
James Peters, MD
Family Practice
NPI 1114912680
14724 HIGHWAY 15 N
Louisville, MS 39339
(662) 773-7500
✔ PECOS12 mi
Valerie Sullivan, F.N.P.
Nurse Practitioner
NPI 1598716573
14724 HIGHWAY 15 N
Louisville, MS 39339
(662) 773-7500
✔ PECOS✔ Accepts Medicare12 mi
Samuel Suttle, M.D.
Family Practice
NPI 1497705453
14724 HIGHWAY 15 N
Louisville, MS 39339
(662) 773-7500
✔ PECOS✔ Accepts Medicare12 mi
Yoshie Lilley, FNP-C
Nurse Practitioner
NPI 1528475217
8900 MS HIGHWAY 15
Ackerman, MS 39735
(662) 387-7167
✔ PECOS✔ Accepts Medicare13 mi
Brianna Lundy, FNP
Nurse Practitioner
NPI 1972085850
455 N COURT AVE
Louisville, MS 39339
(769) 230-9423
✔ PECOS14 mi
Mitchell Moffett, D.O.
Family Practice
NPI 1881115707
49 TURNER ST
Maben, MS 39750
(662) 397-7647
✔ PECOS✔ Accepts Medicare18 mi
See all 68 clinicians

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

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 Choctaw Regional Medical Center's NPI number?

The NPI number for Choctaw Regional Medical Center is 1235547878. It was assigned to this organization in the NPPES registry on July 28, 2014. The provider is doing business as Choctaw Medical Clinic of Ackerman.

Where is Choctaw Regional Medical Center located?

Choctaw Regional Medical Center is located at 64 N Louisville St, Ackerman, MS 39735. The listed phone number is (662) 285-9050.

What is Choctaw Regional Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Choctaw Regional Medical Center enrolled in Medicare?

Yes. Choctaw Regional Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Choctaw Regional Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 68 clinicians in 6 Medicare specialties reassign their Medicare billing to Choctaw Regional 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 Nurse Practitioner (29), Diagnostic Radiology (23) and Family Practice (9). Of these, 12 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Choctaw Regional Medical Center was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.