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JEFFERSON DAVIS GENERAL HOSPITAL
NPI 1730452558
Family Medicine in Prentiss, MS

Active since February 10, 2012
3/5
Overall Rating
1102 ROSE ST, PRENTISS, MS 39474(601) 792-4276(601) 792-2947 Get Directions Write a Review

NPPES record last updated: February 10, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jefferson Davis General Hospital NPPES

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

JEFFERSON DAVIS GENERAL HOSPITAL (NPI 1730452558) is a healthcare organization registered as a family medicine in Prentiss, Mississippi and active in the NPI registry since February 2012. The organization lists Richard Andrew Woodard, Cfo, as its authorized official.

NPPES Registry Identity

NPI1730452558
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFORREST COUNTY GENERAL HOSPITAL
Location Address1102 ROSE STPrentiss, MS 39474-5200
Mailing Address1102 Rose StPrentiss, MS 39474-5200 · (601) 792-4276 · Fax (601) 792-2947
Phone(601) 792-4276
Fax(601) 792-2947
Organization SubpartNo
Authorized OfficialRichard Andrew WoodardCfo · (601) 288-2892
Enumeration DateFebruary 10, 2012
✔ NPI 1730452558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedHospitalistTaxonomy 208M00000X
1102 ROSE ST, Prentiss, MS 39474
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Other Names 1

Doing Business AsJefferson Davis General Hospital

Other Identifiers 1

Medicare OSCAR/certification251326MS

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Molina Healthcare.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 General Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

247

Medicare enrollment records show 247 clinicians reassign Medicare billing to Jefferson Davis General Hospital, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 27

Nurse Practitioner69
Family Practice31
Neurology26
Psychiatry25
Internal Medicine17
Hospitalist10
Interventional Cardiology9
Cardiovascular Disease (Cardiology)8
19 other specialties52

Nearest to this location (20)

See all 247
Michele Mahaffey, FNP
Nurse Practitioner
NPI 1194745315
1014 ROSE ST SUITE A
Prentiss, MS 39474
(601) 792-2200
✔ PECOS✔ Accepts MedicareSame address
Olivia Moran, MD
Family Practice
NPI 1447365606
84 LAIRD BRINSON RD
Prentiss, MS 39474
(601) 792-4079
✔ PECOS3.1 mi
Terrie Wilson, FNP-C
Nurse Practitioner
NPI 1073334975
301 HOSPITAL BLVD COLLINS
Collins, MS 39428
(601) 698-0328
✔ PECOS19 mi
Karen Bruce, M.D.
Family Practice
NPI 1942267281
704 S 5TH ST
Collins, MS 39428
(601) 765-4414
✔ PECOS✔ Accepts Medicare19 mi
Santo Borganelli, MD FACC
Cardiac Electrophysiology
NPI 1235139866
415 SOUTH 28TH AVENUE
Hattiesburg, MS 39401
(601) 268-5800
✔ PECOS✔ Accepts Medicare20 mi
Kevin Holmes, M.D.
Internal Medicine
NPI 1942297858
104 PARTNERSHIP WAY
Columbia, MS 39429
(601) 736-6443
✔ PECOS✔ Accepts Medicare21 mi
Charles Griffith, M.D.
Family Practice
NPI 1205891975
1560 SUMRALL RD
Columbia, MS 39429
(601) 261-2940
✔ PECOS✔ Accepts Medicare24 mi
Billy Pearson, NP
Nurse Practitioner
NPI 1780025809
1560 SUMRALL RD
Columbia, MS 39429
(601) 736-6303
✔ PECOS✔ Accepts Medicare24 mi
Ronda Vanderheiden, F.N.P.
Nurse Practitioner
NPI 1487619151
1560 SUMRALL RD
Columbia, MS 39429
(601) 261-2940
✔ PECOS✔ Accepts Medicare24 mi
Jeffrey Johnson, M.D.
Internal Medicine
NPI 1689698318
914 SUMRALL RD
Columbia, MS 39429
(601) 731-1470
✔ PECOS✔ Accepts Medicare24 mi
Cody Choate, D.O.
Family Practice
NPI 1487064697
502 BROAD ST
Columbia, MS 39429
(601) 736-8282
✔ PECOS✔ Accepts Medicare24 mi
Jessica Mckenzie, FNP
Nurse Practitioner
NPI 1750517660
502 BROAD ST
Columbia, MS 39429
(601) 736-8282
✔ PECOS✔ Accepts Medicare24 mi
Berthold Beisel, MD
Family Practice
NPI 1174546345
502 BROAD ST
Columbia, MS 39429
(601) 736-8282
✔ PECOS✔ Accepts Medicare24 mi
Daniel Stevens, D.O.
Emergency Medicine
NPI 1215137096
1842 SIMPSON HIGHWAY 149
Mendenhall, MS 39114
(601) 847-2424
✔ PECOS✔ Accepts Medicare26 mi
Jefferson Rogers, M.D.
Psychiatry
NPI 1851824015
1481 GRANTHAM RD
Sumrall, MS 39482
(601) 517-2789
✔ PECOS✔ Accepts Medicare28 mi
James Kot, MD
Thoracic Surgery
NPI 1144334814
54 GOLF CLUB RD
Hattiesburg, MS 39402
(601) 261-0426
✔ PECOS✔ Accepts Medicare30 mi
Jennifer Pattie, MSN, FNP-C
Nurse Practitioner
NPI 1457754855
7148 US HIGHWAY 98 SUITE101
Hattiesburg, MS 39402
(601) 261-1500
✔ PECOS✔ Accepts Medicare31 mi
William Martin, D.O.
Family Practice
NPI 1336559327
7148 U S HIGHWAY 98 SUITE 101
Hattiesburg, MS 39402
(601) 261-1500
✔ PECOS✔ Accepts Medicare31 mi
Thomas King, MD
Hospitalist
NPI 1043324809
6414 U S HIGHWAY 98 STE 120
Hattiesburg, MS 39402
(601) 296-2833
✔ PECOS✔ Accepts Medicare33 mi
Shannon Runnels, LPC
Mental Health Counselor
NPI 1447951363
1 LINCOLN PKWY STE 202
Hattiesburg, MS 39402
(601) 288-8050
✔ PECOS34 mi
See all 247 clinicians

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

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Jefferson Davis Community Hospital Ecf (CMS certification number 255050), from CMS Care Compare.

Jefferson Davis Community Hospital Ecf

Nursing home · Prentiss, MS
3/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number255050
Certified Beds55 beds45 residents per day on average
Medicare & Medicaid Participant SinceJanuary 20, 1970
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
18.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.63 · LPN 1.11 · RN 0.54
4.28 hrs per resident per day
Weekend Nurse Staffing
3.63 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
24.4%
Registered Nurse Turnover
33.3%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Forrest County General Hospital's NPI number?

The NPI number for Forrest County General Hospital is 1730452558. It was assigned to this organization in the NPPES registry on February 10, 2012. The provider is doing business as Jefferson Davis General Hospital.

Where is Forrest County General Hospital located?

Forrest County General Hospital is located at 1102 Rose St, Prentiss, MS 39474. The listed phone number is (601) 792-4276.

What is Forrest County General Hospital's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Is Forrest County General Hospital a Medicare-certified nursing home?

Yes. Jefferson Davis Community Hospital Ecf is a Medicare-certified nursing home with 55 certified beds.

What quality rating does Forrest County General Hospital have?

CMS rates Jefferson Davis Community Hospital Ecf 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Forrest County General Hospital accept?

Health plans from Cigna Healthcare and Molina Healthcare 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 February 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.