SOUTH SUNFLOWER COUNTY HOSPITAL
NPI 1962395863
Advanced Practice Midwife in Indianola, MS

Active since May 30, 2025
121 E BAKER ST, INDIANOLA, MS 38751(662) 635-7210 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About South Sunflower County Hospital NPPES

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

SOUTH SUNFLOWER COUNTY HOSPITAL (NPI 1962395863) is a healthcare organization registered as an advanced practice midwife in Indianola, Mississippi and active in the NPI registry since May 2025. The organization lists Courtney Phillips, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962395863
Entity TypeOrganization
Primary Taxonomy367A00000X
Legal Business NameSOUTH SUNFLOWER COUNTY HOSPITAL
Location Address121 E BAKER STIndianola, MS 38751-2498
Mailing Address121 E Baker StIndianola, MS 38751-2498 · (662) 635-7210
Organization SubpartNo
Authorized OfficialCourtney PhillipsCeo · (662) 635-7200
Enumeration DateMay 30, 2025
NPPES CertifiedMay 30, 2025
✔ NPI 1962395863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
121 E BAKER ST, Indianola, MS 38751

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

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)

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

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20040218000979Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

89

Medicare enrollment records show 89 clinicians reassign Medicare billing to South Sunflower County Hospital, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Emergency Medicine28
Nurse Practitioner18
Certified Registered Nurse Anesthetist (CRNA)16
Family Practice12
Diagnostic Radiology4
Internal Medicine4
General Surgery3
Cardiovascular Disease (Cardiology)1
3 other specialties3

Nearest to this location (20)

See all 89
Certified Nurse Midwife (CNM)
NPI 1114730520
121 E BAKER ST
Indianola, MS 38751
(662) 207-8557
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1982864930
121 E BAKER ST
Indianola, MS 38751
(662) 887-5235
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1811743867
121 E BAKER ST
Indianola, MS 38751
(662) 887-5235
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518450410
121 E BAKER ST
Indianola, MS 38751
(662) 887-5235
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1063844249
122 E BAKER ST
Indianola, MS 38751
(662) 887-2212
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1033595509
121 E BAKER ST
Indianola, MS 38751
(662) 887-6000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1578654125
122 E BAKER ST
Indianola, MS 38751
(662) 887-2212
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1932936754
122 E BAKER ST
Indianola, MS 38751
(662) 887-2212
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235220823
122 E BAKER ST
Indianola, MS 38751
(662) 887-2212
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1851671820
122 E BAKER ST
Indianola, MS 38751
(662) 887-2212
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1154842409
122 E BAKER ST
Indianola, MS 38751
(662) 887-2212
✔ PECOSSame address
Nurse Practitioner
NPI 1033404538
122 E BAKER ST
Indianola, MS 38751
(662) 887-2212
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1841285764
122 E BAKER ST
Indianola, MS 38751
(662) 887-2212
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1205065810
345 LAUGHLIN RD
Boyle, MS 38730
(662) 719-6020
✔ PECOS✔ Accepts Medicare19 mi
General Surgery
NPI 1023049335
907 E SUNFLOWER RD 101
Cleveland, MS 38732
(662) 846-8880
✔ PECOS✔ Accepts Medicare21 mi
Emergency Medicine
NPI 1295352649
1400 E UNION ST
Greenville, MS 38703
(662) 378-3783
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1275946964
548 ROSEMARY RD
Cleveland, MS 38732
(662) 843-7373
✔ PECOS22 mi
Nurse Practitioner
NPI 1043396591
1400 E UNION ST
Greenville, MS 38703
(662) 378-3783
✔ PECOS22 mi
Nurse Practitioner
NPI 1609385392
125 N MAIN ST
Drew, MS 38737
(662) 649-6045
✔ PECOS✔ Accepts Medicare25 mi
Emergency Medicine
NPI 1902943764
303 MEDICAL CENTER DR TRI-LAKES MEDICAL CENTER
Batesville, MS 38606
(662) 563-5611
✔ PECOS72 mi
See all 89 clinicians

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 South Sunflower County Hospital's NPI number?

The NPI number for South Sunflower County Hospital is 1962395863. It was assigned to this organization in the NPPES registry on May 30, 2025.

Where is South Sunflower County Hospital located?

South Sunflower County Hospital is located at 121 E Baker St, Indianola, MS 38751. The listed phone number is (662) 635-7210.

What is South Sunflower County Hospital's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is South Sunflower County Hospital enrolled in Medicare?

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

When is South Sunflower County Hospital's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by March 31, 2027. 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 South Sunflower County Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 89 clinicians in 11 Medicare specialties reassign their Medicare billing to South Sunflower 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. The largest specialties are Emergency Medicine (28), Nurse Practitioner (18) and Certified Registered Nurse Anesthetist (CRNA) (16). Of these, 6 practice at this address and 13 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 South Sunflower County Hospital was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.