COPIAH COUNTY MEDICAL CENTER
NPI 1972603819
Clinic/Center - Rural Health in Crystal Springs, MS
About Copiah County Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COPIAH COUNTY MEDICAL CENTER (NPI 1972603819), doing business as Crystal Springs Clinic, is a healthcare organization registered as a rural health in Crystal Springs, Mississippi and active in the NPI registry since September 2006. The organization lists Kortney M. Gaddy, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 8
Group Practice 1
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)
Copiah County Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 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.
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Copiah County Medical Center, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
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 Copiah County Medical Center's NPI number?
The NPI number for Copiah County Medical Center is 1972603819. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is doing business as Crystal Springs Clinic.
Where is Copiah County Medical Center located?
Copiah County Medical Center is located at 123 Bo Bo Dr, Crystal Springs, MS 39059. The listed phone number is (601) 892-2225.
What is Copiah County Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Copiah County Medical Center enrolled in Medicare?
Yes. Copiah County Medical Center is registered in the Medicare PECOS enrollment system.
When is Copiah County Medical Center'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 January 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 Copiah County Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Copiah County 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 Family Practice (6) and Nurse Practitioner (4). Of these, 8 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 Copiah County Medical Center was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Copiah County Medical Center · NPI 1972603819
Rural Health organization in Crystal Springs, Mississippi. Organization record, active in the CMS NPPES registry since September 22, 2006.
## Identity
- **NPI:** 1972603819 (Entity type: Organization)
- **Enumerated:** September 22, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Crystal Springs Clinic (Doing Business As)
- **Organization subpart:** Yes (part of Copiah County Medical Center)
- **Authorized official:** Kortney Gaddy, CFO
## Practice location
- **Address:** 123 BO BO DR, Crystal Springs, MS 39059
- **Phone:** (601) 892-2225 · **Fax:** (601) 892-1456
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (6), Nurse Practitioner (4); 8 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 23, 2025
- **Other identifiers:** Medicaid 00012939 (MS); Medicaid 00011981 (MS); Medicaid 00015329 (MS); and 5 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1972603819) · Data from the CMS NPPES public registry.