JEFFERSON DAVIS RURAL HEALTH CLINIC
NPI 1689952707
Clinic/Center - Rural Health in Prentiss, MS
About Jefferson Davis Rural Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFERSON DAVIS RURAL HEALTH CLINIC (NPI 1689952707) is a healthcare organization registered as a rural health in Prentiss, Mississippi and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through April 26, 2027 and lists Ben Hester, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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)
Jefferson Davis Rural Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
247Medicare enrollment records show 247 clinicians reassign Medicare billing to Jefferson Davis Rural Health Clinic, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 27
Nearest to this location (20)
See all 247Source: 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 25D1067906
Jefferson Davis Rural Health Clinic · Prentiss, MSFrequently 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 Forrest County General Hospital's NPI number?
The NPI number for Forrest County General Hospital is 1689952707. It was assigned to this organization in the NPPES registry on July 22, 2011. The provider is doing business as Jefferson Davis Rural Health Clinic.
Where is Forrest County General Hospital located?
Forrest County General Hospital is located at 1014 Rose St Suite A, Prentiss, MS 39474. The listed phone number is (601) 792-2202.
What is Forrest County General Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Forrest County General Hospital enrolled in Medicare?
Yes. Forrest County General Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Forrest County General Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 247 clinicians in 27 Medicare specialties reassign their Medicare billing to Forrest County 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 (69), Family Practice (31) and Neurology (26). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Forrest County General Hospital hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D1067906) is associated with this NPI, valid through April 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Forrest County 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 Forrest County 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 Forrest County 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.
# Jefferson Davis Rural Health Clinic · NPI 1689952707
Rural Health organization in Prentiss, Mississippi. Organization record, active in the CMS NPPES registry since July 22, 2011.
## Identity
- **NPI:** 1689952707 (Entity type: Organization)
- **Enumerated:** July 22, 2011
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Forrest County General Hospital
- **Organization subpart:** No
- **Authorized official:** Ben Hester, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 1014 ROSE ST, SUITE A, Prentiss, MS 39474-5271
- **Phone:** (601) 792-2202 · **Fax:** (601) 792-2345
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 247 clinicians in 27 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (69), Family Practice (31), Neurology (26); 3 practice within 10 miles; [full list](https://npiprofile.com/npi/1689952707/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2017
- **Other identifiers:** Medicare OSCAR/certification 258523 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1689952707) · Data from the CMS NPPES public registry.