Active NPI
Tesia Shani Hall-Hill, D.O.
- Family Medicine Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18905
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00937242 | Medicaid | MS |
Other names 1
- Tesia S. Hill
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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18905 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Mississippi Civic Improvement Association, Inc. | Current | Accepting new patients | |
| Central Mississippi Civic Improvement Association, Inc | Current | 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
- tesia.hillhall@jhchc.eclinicaldirectplus.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1134151442
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1215744396
-
- Medical Specialty Clinic/Center
- Jackson, MS
- NPI 1154549707
Family Medicine
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1609984574
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.