OrganizationActive
Choctaw Regional Medical Center
NPI 1235547878 · Family Medicine Physician · Ackerman, MS
Provider details
- NPI number
- 1235547878
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Hollingsworth, Administrator & Credentialing(662) 285-9460
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
64 N Louisville St
Ackerman, MS 39735-9217
Phone: (662) 285-9050
Street-level locationGet directions
Mailing address
8613 Ms Highway 12
Ackerman, MS 39735-8917
Other names (DBA / former)
- Doing business as
- Choctaw Medical Clinic of Ackerman
- Doing business as
- Choctaw Medical Clinic of Ackerman
Registry dates
- Enumerated
- 2014-07-28
- Last updated
- 2025-05-28
- Certified
- 2025-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.