WALTHALL GENERAL HOSPITAL
NPI 1245512417
Emergency Medicine in Tylertown, MS

Active since September 14, 2011
100 HOSPITAL DRIVE, TYLERTOWN, MS 39667(601) 876-2122(601) 876-0432 Get Directions Write a Review

NPPES record last updated: September 12, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Walthall General Hospital NPPES

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

WALTHALL GENERAL HOSPITAL (NPI 1245512417) is a healthcare organization registered as an emergency medicine in Tylertown, Mississippi and active in the NPI registry since September 2011. The organization lists Ben Hester, Cfo, as its authorized official.

NPPES Registry Identity

NPI1245512417
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameWALTHALL GENERAL HOSPITAL
Location Address100 HOSPITAL DRIVETylertown, MS 39667
Mailing AddressPo Box 15722Hattiesburg, MS 39404 · (601) 288-1889 · Fax (601) 288-1848
Fax(601) 876-0432
Organization SubpartYesParent: Forrest General Hospital
Authorized OfficialBen HesterCfo · (601) 288-4225
Enumeration DateSeptember 14, 2011
Last NPPES UpdateSeptember 12, 2017
✔ NPI 1245512417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MS · 11-257
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License 11-257 (MS)
100 HOSPITAL DRIVE, Tylertown, MS 39667

Other Identifiers 1

Medicaid09013588MS

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)

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

Clinicians Billing Medicare Through This Organization

34

Medicare enrollment records show 34 clinicians reassign Medicare billing to Walthall General Hospital, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Neurology12
Interventional Cardiology8
Nurse Practitioner6
Cardiovascular Disease (Cardiology)3
Internal Medicine2
Critical Care (Intensivists)1
Family Practice1
Pulmonary Disease1

Nearest to this location (20)

See all 34
Nurse Practitioner
NPI 1093137309
200 HOSPITAL DR
Tylertown, MS 39667
(601) 876-5303
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1891320164
200 HOSPITAL DR
Tylertown, MS 39667
(601) 876-5835
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1255063996
200 HOSPITAL DR
Tylertown, MS 39667
(601) 876-5835
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1982964565
107 BALL AVE
Tylertown, MS 39667
(601) 377-1975
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1043268709
62 HIGHWAY 587
Foxworth, MS 39483
(601) 424-3540
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1457233439
801 HIGHWAY 11 S STE C
Picayune, MS 39466
(769) 242-3185
✔ PECOS✔ Accepts Medicare49 mi
Interventional Cardiology
NPI 1851653315
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 579-5463
✔ PECOS✔ Accepts Medicare51 mi
Internal Medicine
NPI 1952780066
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5800
✔ PECOS✔ Accepts Medicare51 mi
Interventional Cardiology
NPI 1902835234
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5800
✔ PECOS✔ Accepts Medicare51 mi
Interventional Cardiology
NPI 1427251511
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5800
✔ PECOS✔ Accepts Medicare51 mi
Interventional Cardiology
NPI 1265442594
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5800
✔ PECOS✔ Accepts Medicare51 mi
Cardiovascular Disease (Cardiology)
NPI 1508970211
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5800
✔ PECOS✔ Accepts Medicare51 mi
Interventional Cardiology
NPI 1821103185
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5800
✔ PECOS✔ Accepts Medicare51 mi
Cardiovascular Disease (Cardiology)
NPI 1487841847
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5800
✔ PECOS✔ Accepts Medicare51 mi
Cardiovascular Disease (Cardiology)
NPI 1639284888
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5800
✔ PECOS51 mi
Critical Care (Intensivists)
NPI 1699884288
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5650
✔ PECOS✔ Accepts Medicare51 mi
Interventional Cardiology
NPI 1952409609
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5800
✔ PECOS✔ Accepts Medicare51 mi
Interventional Cardiology
NPI 1588773774
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5800
✔ PECOS✔ Accepts Medicare51 mi
Pulmonary Disease
NPI 1619018983
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5650
✔ PECOS✔ Accepts Medicare51 mi
Family Practice
NPI 1821032236
1146 EVELYN GANDY PKWY
Petal, MS 39465
(601) 584-4309
✔ PECOS56 mi
See all 34 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 Walthall General Hospital's NPI number?

The NPI number for Walthall General Hospital is 1245512417. It was assigned to this organization in the NPPES registry on September 14, 2011.

Where is Walthall General Hospital located?

Walthall General Hospital is located at 100 Hospital Drive, Tylertown, MS 39667. The listed phone number is (601) 876-2122.

What is Walthall General Hospital's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Walthall General Hospital enrolled in Medicare?

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

How many clinicians bill Medicare through Walthall General Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 8 Medicare specialties reassign their Medicare billing to Walthall 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 Neurology (12), Interventional Cardiology (8) and Nurse Practitioner (6). Of these, 4 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 Walthall General Hospital was last updated on September 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.