STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
NPI 1699714717
General Acute Care Hospital in Greenwood, MS
About State Of Mississippi - University Of Mississippi Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (NPI 1699714717), doing business as Ummc Greenwood Hospital, is a healthcare organization registered as a general acute care hospital in Greenwood, Mississippi and active in the NPI registry since June 2006. The organization lists Kimberley Wrenn Martindale, Director Of Reimbursement, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
State Of Mississippi - University Of Mississippi Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
76Medicare enrollment records show 76 clinicians reassign Medicare billing to State Of Mississippi - University Of Mississippi Medical Center, which bills Medicare for the services they deliver. Of these, 26 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 76Source: 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 State Of Mississippi - University Of Mississippi Medical Center's NPI number?
The NPI number for State Of Mississippi - University Of Mississippi Medical Center is 1699714717. It was assigned to this organization in the NPPES registry on June 5, 2006. The provider is doing business as UMMC Greenwood Hospital.
Where is State Of Mississippi - University Of Mississippi Medical Center located?
State Of Mississippi - University Of Mississippi Medical Center is located at 1401 River Rd, Greenwood, MS 38930. The listed phone number is (662) 459-2604.
What is State Of Mississippi - University Of Mississippi Medical Center's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.
Is State Of Mississippi - University Of Mississippi Medical Center enrolled in Medicare?
Yes. State Of Mississippi - University Of Mississippi Medical Center is registered in the Medicare PECOS enrollment system.
When is State Of Mississippi - University Of Mississippi Medical Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Mississippi, Hospital) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through State Of Mississippi - University Of Mississippi Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 76 clinicians in 8 Medicare specialties reassign their Medicare billing to State Of Mississippi - University Of Mississippi 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 (35), Emergency Medicine (19) and Cardiovascular Disease (Cardiology) (7). Of these, 26 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does State Of Mississippi - University Of Mississippi Medical Center accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list State Of Mississippi - University Of Mississippi Medical Center 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 State Of Mississippi - University Of Mississippi Medical Center was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# State Of Mississippi - University Of Mississippi Medical Center · NPI 1699714717
General Acute Care Hospital organization in Greenwood, Mississippi. Organization record, active in the CMS NPPES registry since June 5, 2006.
## Identity
- **NPI:** 1699714717 (Entity type: Organization)
- **Enumerated:** June 5, 2006
- **Primary specialty:** General Acute Care Hospital · taxonomy 282N00000X
- **Also known as:** UMMC Greenwood Hospital (Doing Business As); State of Mississippi - University of Mississippi Medical Center (Other Name)
- **Organization subpart:** No
- **Authorized official:** Kimberley Martindale, DIRECTOR OF REIMBURSEMENT
## Practice location
- **Address:** 1401 RIVER RD, Greenwood, MS 38930-4030
- **Phone:** (662) 459-2604
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Part A, Mississippi, Hospital) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 76 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (35), Emergency Medicine (19), Cardiovascular Disease (Cardiology) (7); 26 practice within 10 miles; [full list](https://npiprofile.com/npi/1699714717/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 31, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1699714717) · Data from the CMS NPPES public registry.