Bob Hutchins

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

09818 Issued in MS

Practice address

911 Ellis Ave
Jackson, MS 39209-6256

Phone

(601) 533-7016

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Meharry Medical College School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oak Street Health Physicians Group of Mississippi, LLCGroup PAC ID 7012334170, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19209/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/CHAADD/Endpoint/CHAADD

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.

• Oak Street Health Physicians Group of Mississippi, LLC

  • Family Medicine Physician
  • Raymond, NH
  • NPI 1235754995

  Internal Medicine, MS

  Medicare reassignment Care Compare group NPD
• Attala Emergency Group LLC

  • Emergency Medicine Physician
  • Kosciusko, MS
  • NPI 1407103294
  Medicare reassignment NPD
• Baptist Medical Center - Yazoo, Inc

  • Critical Access Hospital
  • Yazoo City, MS
  • NPI 1619918075
  Medicare reassignment NPD
• Keystone Medical Services of Ms, Inc

  • Emergency Medicine Physician
  • Hazlehurst, MS
  • NPI 1174691059
  Medicare reassignment NPD
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441

  MS

  Medicare reassignment NPD
• Baptist Medical Center - Yazoo, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Yazoo City, MS
  • NPI 1063620870
  NPD
• Mallory Community Health

  • Federally Qualified Health Center (FQHC)
  • Lexington, MS
  • NPI 1205425535
  NPD (past)
• Mallory Community Health

  • Federally Qualified Health Center (FQHC)
  • Lexington, MS
  • NPI 1295282358
  NPD (past)
• Mallory Community Health

  • Dental Clinic/Center
  • Lexington, MS
  • NPI 1982291415
  NPD (past)
• Mallory Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Lexington, MS
  • NPI 1437490109
  NPD (past)
• McFatter Family Medical, LLC

  • Urgent Care Clinic/Center
  • Ridgeland, MS
  • NPI 1811660293
  NPD (past)
• Montfort Jones Memorial Hospital

  • General Acute Care Hospital
  • Kosciusko, MS
  • NPI 1851508816
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1033150263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746085",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746085",
            "telephone_number": "469-727-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 ELLIS AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392096256",
            "telephone_number": "601-533-7016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3502 W Northside Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392134454",
            "country_code": "US",
            "telephone_number": "601-362-5321",
            "fax_number": "601-364-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTCHINS",
        "first_name": "BOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "09818",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "09818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114426",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Michael Hurd, MD
• Stedman Hurdle
• Susan Page Oetzel Husband, NP-C
• Muzamil Hamid Hussain, MBBS
• Holly Hutcheson, PA
• Shea Fox Hutchins, LCSW
• Anna Kathryn Huth, M.S., CCC-SLP
• Darrell Mitchell Hutto, DMD
• Eric Davis Hutto, M.D.
• Caitlyn Bankston Hutton, COTA

• Internal Medicine Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.

Verify at the official NPI Registry.