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CHOCTAW REGIONAL MEDICAL CENTER
NPI 1568879864
General Acute Care Hospital - Critical Access in Ackerman, MS

Active since July 18, 2014
8613 MS HIGHWAY 12, ACKERMAN, MS 39735(662) 285-4400 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 20, 2022, Mar 10, 2020 (2 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 1568879864) is a healthcare organization registered as a critical access in Ackerman, Mississippi and active in the NPI registry since July 2014. The organization lists Susan Hollingsworth Wells, Administrator, as its authorized official.

NPPES Registry Identity

NPI1568879864
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameCHOCTAW REGIONAL MEDICAL CENTER
Location Address8613 MS HIGHWAY 12Ackerman, MS 39735-8917
Mailing AddressPo Box 719Ackerman, MS 39735-0719 · (662) 285-4400
Phone(662) 285-4400
Organization SubpartNo
Authorized OfficialSusan Hollingsworth WellsAdministrator · (662) 285-9460
Enumeration DateJuly 18, 2014
Last NPPES UpdateApril 20, 20222 updates tracked since enumeration
NPPES CertifiedApril 20, 2022
✔ NPI 1568879864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
Also ListedPersonal Emergency Response AttendantTaxonomy 146D00000X
8613 MS HIGHWAY 12, Ackerman, MS 39735
Open in Google Maps ↗

Other Names 1

Doing Business AsChoctaw Regional Medical Center

Other Identifiers 1

Medicaid00431215MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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

70

Medicare enrollment records show 70 clinicians reassign Medicare billing to Choctaw Regional Medical Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner30
Diagnostic Radiology24
Family Practice9
Emergency Medicine4
Interventional Radiology2
Psychiatry1

Nearest to this location (20)

See all 70
Hannah Bowman, NURSE PRACTITIONER
Nurse Practitioner
NPI 1780278739
8613 MS HIGHWAY 12
Ackerman, MS 39735
(662) 285-9460
✔ PECOS✔ Accepts MedicareSame address
Shannon Dobbs, DO
Emergency Medicine
NPI 1295099455
8613 MS HIGHWAY 12
Ackerman, MS 39735
(662) 285-4400
✔ PECOS✔ Accepts MedicareSame address
Falan Mcknight, MD
Family Practice
NPI 1073173514
8613 MS HIGHWAY 12
Ackerman, MS 39735
(662) 285-4400
✔ PECOS✔ Accepts MedicareSame address
Brittany Dickerson, FNP-C
Nurse Practitioner
NPI 1760959027
8613 MS HIGHWAY 12
Ackerman, MS 39735
(662) 285-9460
✔ PECOS✔ Accepts Medicare0.1 mi
Shunda Garner, MD
Emergency Medicine
NPI 1124017546
8613 MS HIGHWAY 12
Ackerman, MS 39735
(662) 285-4400
✔ PECOS✔ Accepts Medicare0.1 mi
Megan Hubbard, FNP-BC
Nurse Practitioner
NPI 1154981470
8613 MS HIGHWAY 12
Ackerman, MS 39735
(662) 285-9460
✔ PECOS✔ Accepts Medicare0.1 mi
Sandy Lieu, MD
Family Practice
NPI 1952716573
8613 MS HIGHWAY 12
Ackerman, MS 39735
(662) 285-4400
✔ PECOS✔ Accepts Medicare0.1 mi
Rushaunda Nash, FNP
Nurse Practitioner
NPI 1548643380
8613 MS HIGHWAY 12
Ackerman, MS 39735
(662) 285-9460
✔ PECOS✔ Accepts Medicare0.1 mi
Kelsie Vernon
Nurse Practitioner
NPI 1801789870
320 MS-15
Louisville, MS 39339
(662) 773-7500
✔ PECOS✔ Accepts Medicare0.9 mi
Harmon Prosser, MD
Family Practice
NPI 1073578886
64 N LOUISVILLE ST
Ackerman, MS 39735
(662) 285-9050
✔ PECOS✔ Accepts Medicare1.1 mi
Weston Eldridge
Family Practice
NPI 1134703366
14724 HIGHWAY 15 N
Louisville, MS 39339
(662) 773-7500
✔ PECOS✔ Accepts Medicare5.8 mi
Beverly Randle, F.N.P.
Nurse Practitioner
NPI 1184675134
14724 HIGHWAY 15 N
Louisville, MS 39339
(662) 773-7500
✔ PECOS✔ Accepts Medicare5.8 mi
Barbara Ezell
Nurse Practitioner
NPI 1649058207
14724 HIGHWAY 15 N
Louisville, MS 39339
(662) 773-7500
✔ PECOS✔ Accepts Medicare13 mi
Yoshie Lilley, FNP-C
Nurse Practitioner
NPI 1528475217
8900 MS HIGHWAY 15
Ackerman, MS 39735
(662) 387-7167
✔ PECOS✔ Accepts Medicare13 mi
Pamela Metts, FNP
Nurse Practitioner
NPI 1851781611
14724 HIGHWAY 15 N
Louisville, MS 39339
(662) 773-7500
✔ PECOS✔ Accepts Medicare13 mi
James Peters, MD
Family Practice
NPI 1114912680
14724 HIGHWAY 15 N
Louisville, MS 39339
(662) 773-7500
✔ PECOS13 mi
Valerie Sullivan, F.N.P.
Nurse Practitioner
NPI 1598716573
14724 HIGHWAY 15 N
Louisville, MS 39339
(662) 773-7500
✔ PECOS✔ Accepts Medicare13 mi
Samuel Suttle, M.D.
Family Practice
NPI 1497705453
14724 HIGHWAY 15 N
Louisville, MS 39339
(662) 773-7500
✔ PECOS✔ Accepts Medicare13 mi
Brianna Lundy, FNP
Nurse Practitioner
NPI 1972085850
455 N COURT AVE
Louisville, MS 39339
(769) 230-9423
✔ PECOS15 mi
Mitchell Moffett, D.O.
Family Practice
NPI 1881115707
49 TURNER ST
Maben, MS 39750
(662) 397-7647
✔ PECOS✔ Accepts Medicare18 mi
See all 70 clinicians

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

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Choctaw Regional Medical Center (CMS certification number 251334), from CMS Care Compare.

Choctaw Regional Medical Center

Critical Access Hospitals · Ackerman, MS
OwnershipGovernment - Local
CMS Certification Number251334
Location8613 Ms Hwy 12Ackerman, MS 39735 · Choctaw County · (662) 285-4400
Emergency services Meaningful use of EHRs

Complications & Deaths 4

Death rate for COPD patients
Cases too small to report
Death rate for heart failure patients
Cases too small to report
Death rate for pneumonia patients
22% No different than national
Death rate for stroke patients
Cases too small to report

Unplanned Hospital Visits 8

Hospital return days for heart failure patients
Cases too small to report
Hospital return days for pneumonia patients
25 more days than average per 100 discharges
Rate of inpatient admissions for patients receiving outpatient chemotherapy
Cases too small to report
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy
Cases too small to report
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients
Cases too small to report
Heart failure (HF) 30-Day Readmission Rate
Cases too small to report

Timely & Effective Care 2

Healthcare workers given influenza vaccination
76%
Venous Thromboembolism Prophylaxis
38%

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 1568879864. It was assigned to this organization in the NPPES registry on July 18, 2014.

Where is Choctaw Regional Medical Center located?

Choctaw Regional Medical Center is located at 8613 Ms Highway 12, Ackerman, MS 39735. The listed phone number is (662) 285-4400.

What is Choctaw Regional Medical Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

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), 70 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 (30), Diagnostic Radiology (24) and Family Practice (9). Of these, 3 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Is Choctaw Regional Medical Center a Medicare-certified hospital?

Yes. Choctaw Regional Medical Center is a Medicare-certified hospital (Critical Access Hospitals). The hospital provides emergency services.

When was this NPI record last updated?

The NPPES record for Choctaw Regional Medical Center was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.