CHOCTAW RESIDENTIAL CENTER PHYSICIANS
NPI 1891965612
Nursing Facility/Intermediate Care Facility in Choctaw, MS
About Choctaw Residential Center Physicians NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHOCTAW RESIDENTIAL CENTER PHYSICIANS (NPI 1891965612) is a healthcare organization registered as a nursing facility/intermediate care facility in Choctaw, Mississippi and active in the NPI registry since March 2008. The organization lists Phyllis J Anderson, Tribal Chief, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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 Residential Center Physicians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
71Medicare enrollment records show 71 clinicians reassign Medicare billing to Choctaw Residential Center Physicians, which bills Medicare for the services they deliver. Of these, 16 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 19
Nearest to this location (20)
See all 71Choctaw, MS 39350
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 Mississippi Band Of Choctaw Indians's NPI number?
The NPI number for Mississippi Band Of Choctaw Indians is 1891965612. It was assigned to this organization in the NPPES registry on March 7, 2008. The provider is doing business as Choctaw Residential Center Physicians.
Where is Mississippi Band Of Choctaw Indians located?
Mississippi Band Of Choctaw Indians is located at 135 Hospital Cir, Choctaw, MS 39350. The listed phone number is (601) 656-2582.
What is Mississippi Band Of Choctaw Indians's specialty?
The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.
Is Mississippi Band Of Choctaw Indians enrolled in Medicare?
Yes. Mississippi Band Of Choctaw Indians is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mississippi Band Of Choctaw Indians?
According to the CMS Revalidation Reassignment List (October 2026 release), 71 clinicians in 19 Medicare specialties reassign their Medicare billing to Mississippi Band Of Choctaw Indians. 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 (25), Family Practice (14) and Emergency Medicine (6). Of these, 16 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mississippi Band Of Choctaw Indians was last updated on July 2, 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.
# Choctaw Residential Center Physicians · NPI 1891965612
Nursing Facility/Intermediate Care Facility organization in Choctaw, Mississippi. Organization record, active in the CMS NPPES registry since March 7, 2008.
## Identity
- **NPI:** 1891965612 (Entity type: Organization)
- **Enumerated:** March 7, 2008
- **Primary specialty:** Nursing Facility/Intermediate Care Facility · taxonomy 313M00000X
- **Legal business name:** Mississippi Band Of Choctaw Indians
- **Organization subpart:** Yes (part of Mississippi Band Of Choctaw Indians)
- **Authorized official:** Phyllis Anderson, TRIBAL CHIEF
## Practice location
- **Address:** 135 HOSPITAL CIR, Choctaw, MS 39350-6780
- **Phone:** (601) 656-2582
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 71 clinicians in 19 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (25), Family Practice (14), Emergency Medicine (6); 16 practice within 10 miles; [full list](https://npiprofile.com/npi/1891965612/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 2, 2012
- **Other identifiers:** Medicare PIN TEZ041 (TX); Medicaid 09015768 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1891965612) · Data from the CMS NPPES public registry.