CCH CLINIC TAYLORSVILLE
NPI 1306460282
Clinic/Center - Rural Health in Taylorsville, MS

Active since June 05, 2020CLIA 25D2185754 · Waiver
105 EATON ST, TAYLORSVILLE, MS 39168(601) 765-6711(601) 698-0112 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 13, 2023, Nov 30, 2020, Jun 8, 2020 and 1 more (4 updates tracked since 2020).

About Cch Clinic Taylorsville NPPES

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

CCH CLINIC TAYLORSVILLE (NPI 1306460282) is a healthcare organization registered as a rural health in Taylorsville, Mississippi and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists Anissa L Evans, Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1306460282
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCOVINGTON COUNTY HOSPITAL
Location Address105 EATON STTaylorsville, MS 39168-5614
Mailing Address105 Eaton StTaylorsville, MS 39168-5614 · (601) 765-6711 · Fax (601) 698-0112
Fax(601) 698-0112
Organization SubpartNo
Authorized OfficialAnissa L EvansCredentialing Director · (601) 698-0328
Enumeration DateJune 5, 2020
Last NPPES UpdateJune 13, 20234 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1306460282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
105 EATON ST, Taylorsville, MS 39168

Other Names 1

Doing Business AsCch Clinic Taylorsville

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)

Cch Clinic Taylorsville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Cch Clinic Taylorsville, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (13)

Nurse Practitioner
NPI 1073334975
301 HOSPITAL BLVD COLLINS
Collins, MS 39428
(601) 698-0328
✔ PECOS16 mi
Nurse Practitioner
NPI 1457116907
3275 HIGHWAY 49
Collins, MS 39428
(601) 765-6292
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1801372685
1220 JEFFERSON ST
Laurel, MS 39440
(601) 426-4000
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1619862166
622 HIGHWAY 49
Seminary, MS 39479
(601) 394-7875
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1205527934
67 PARRISH RD
Sumrall, MS 39482
(601) 410-3262
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1891183208
1014 ROSE ST. STE. A
Prentiss, MS 39474
(601) 792-1223
✔ PECOS31 mi
Nurse Practitioner
NPI 1689345506
5056 W 4TH ST # 100
Hattiesburg, MS 39402
(601) 446-2056
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1063201804
5003 HARDY ST STE 200
Hattiesburg, MS 39402
(601) 261-5700
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1326565763
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 264-6000
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1417782723
6051 U S HIGHWAY 49
Hattiesburg, MS 39401
(601) 288-7000
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1942005749
120 VICTORIA CIR
Newton, MS 39345
(601) 466-0946
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1245323914
1014 ROSE ST
Prentiss, MS 39474
(601) 792-2071
✔ PECOS38 mi
Nurse Practitioner
NPI 1841922937
9500 BAPTIST HEALTH DR STE 100
Little Rock, AR 72205
(501) 224-5500
✔ PECOS✔ Accepts Medicare264 mi

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 Waiver 25D2185754

Cch Clinic Taylorsville · Taylorsville, MS
Active · expires Jun 8, 2028
CLIA Number25D2185754
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorDr. Thomas Blackledge
Laboratory Phone(601) 452-4280
Laboratory LocationCch Clinic Taylorsville105 Eaton St, Taylorsville, MS 39168
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Covington County Hospital's NPI number?

The NPI number for Covington County Hospital is 1306460282. It was assigned to this organization in the NPPES registry on June 5, 2020. The provider is doing business as Cch Clinic Taylorsville.

Where is Covington County Hospital located?

Covington County Hospital is located at 105 Eaton St, Taylorsville, MS 39168. The listed phone number is (601) 765-6711.

What is Covington County Hospital's specialty?

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

Is Covington County Hospital enrolled in Medicare?

Yes. Covington County Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Covington County Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Covington 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Covington County Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2185754) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Covington 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 3 other insurers list Covington 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 Covington County Hospital was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.