Individual provider Active NPI

Tesia Shani Hall-Hill, D.O.

  • Family Medicine Physician
  • Jackson, MS
National Provider Identifier
1003036252
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18905 Issued in MS
Practice address
764 Lakeland Dr BLDG LP
Jackson, MS 39216-4651
Phone
(601) 984-6800
Fax
(601) 984-6811
NPI assigned
Apr 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18905 MS Primary

Addresses

Primary practice location

764 Lakeland Dr BLDG LP
Jackson, MS 39216-4651

Mailing address

504 Clinton Center Dr Ste 4300
Clinton, MS 39056-5610
Phone (601) 984-1000

Other identifiers 1

IdentifierTypeStateIssuer
00937242MedicaidMS

Other names 1

  • Tesia S. Hill Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050823000669 MS Practitioner - Family Practice 6608807367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Mississippi Civic Improvement Association, IncGroup PAC ID 4183533235, 48 clinicians

Practice addresses (Care Compare)

129 White Oak St
Utica, MS 39175-8803
Phone (601) 885-6021

764 Lakeland Dr
2ND
Jackson, MS 39216-4651
Phone (601) 815-2005

Hospital & facility affiliations

  • University of Mississippi Med Center Hospital, Jackson, MS, CCN 250001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
18905MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Mississippi Civic Improvement Association, Inc. CurrentSince Mar 19, 2017 Accepting new patients
Central Mississippi Civic Improvement Association, Inc CurrentSince Mar 19, 2017 Accepting new patients
Central Jackson Family Medical Clinic Family Medicine Past Accepting new patients
University Physicians, PLLC Past Accepting new patients

Locations

514 E Woodrow Wilson Ave
#C
Jackson, MS 39216
Phone (601) 981-1198

3502 W Northside Dr
Jackson, MS 39213
Phone (601) 982-1625

129 White Oak St
Utica, MS 39175
Phone (601) 885-6021

Networks

  • AL HMO
  • TN PPO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • TN PPO C-SNP
  • MS PPO D-SNP
  • MS PPO
  • AL HMO D-SNP
  • LA PPO C-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • MS PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: tesia.hillhall@jhchc.eclinicaldirectplus.com
  • Direct secure messaging: thill228257@ummc.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1003036252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 CLINTON CENTER DR STE 4300",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565610",
            "telephone_number": "601-984-1000",
            "fax_number": "601-815-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 LAKELAND DR BLDG LP",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164651",
            "telephone_number": "601-984-6800",
            "fax_number": "601-984-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL-HILL",
        "first_name": "TESIA",
        "middle_name": "SHANI",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "18905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00937242",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESIA",
            "last_name": "HILL",
            "middle_name": "S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.