JEFFERSON COUNTY HOSPITAL MULTISPECIALTY CLINIC
NPI 1841971348
Clinic/Center - Multi-Specialty in Fayette, MS

Active since July 27, 2023
870 MAIN ST, FAYETTE, MS 39069(601) 786-3401 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 12, 2023, Dec 7, 2023, Jul 27, 2023 (3 updates tracked since 2023).

About Jefferson County Hospital Multispecialty Clinic NPPES

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

JEFFERSON COUNTY HOSPITAL MULTISPECIALTY CLINIC (NPI 1841971348) is a healthcare organization registered as a multi-specialty in Fayette, Mississippi and active in the NPI registry since July 2023. The organization lists Linda Stjulien, Ceo, as its authorized official.

NPPES Registry Identity

NPI1841971348
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameJEFFERSON COUNTY HOSPITAL
Location Address870 MAIN STFayette, MS 39069-5695
Mailing AddressPo Box 577Fayette, MS 39069-0577 · (601) 786-3401 · Fax (601) 786-3400
Organization SubpartYes
Authorized OfficialLinda StjulienCeo · (601) 786-3401
Enumeration DateJuly 27, 2023
Last NPPES UpdateDecember 12, 20233 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
✔ NPI 1841971348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
870 MAIN ST, Fayette, MS 39069

Other Names 1

Doing Business AsJefferson County Hospital Multispecialty Clinic

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 County Hospital Multispecialty Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jefferson County Hospital Multispecialty Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1134150006
3800 W BROWARD BLVD STE 100
Ft Lauderdale, FL 33312
(888) 587-0335
✔ PECOS✔ Accepts Medicare762 mi

Source: 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 Jefferson County Hospital's NPI number?

The NPI number for Jefferson County Hospital is 1841971348. It was assigned to this organization in the NPPES registry on July 27, 2023. The provider is doing business as Jefferson County Hospital Multispecialty Clinic.

Where is Jefferson County Hospital located?

Jefferson County Hospital is located at 870 Main St, Fayette, MS 39069. The listed phone number is (601) 786-3401.

What is Jefferson County Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Jefferson County Hospital enrolled in Medicare?

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

How many clinicians bill Medicare through Jefferson County Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Jefferson 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.

When was this NPI record last updated?

The NPPES record for Jefferson County Hospital was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.