NPIMap

Individual provider Active NPI

Douglas L Hill, MD

  • Cardiovascular Disease Physician
  • Tupelo, MS
National Provider Identifier
1063504157
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
15773 Issued in MS
Practice address
499 Gloster Creek VLG Ste A2
Cardiology Associates of North Ms
Tupelo, MS 38801-4749
Phone
(662) 620-6800
Fax
(662) 620-6920
NPI assigned
Sep 28, 2006
Last updated
Jun 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 15773 MS Primary

Addresses

Primary practice location

499 Gloster Creek VLG Ste A2
Cardiology Associates of North Ms
Tupelo, MS 38801-4749

Mailing address

499 Gloster Creek VLG Ste A2
Cardiology Associates of North Ms
Tupelo, MS 38801-4749
Phone (662) 620-6800

Other identifiers 1

IdentifierTypeStateIssuer
0119486MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921000385 MS Practitioner - Cardiovascular Disease (Cardiology) 6103894803 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Vanderbilt University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Mississippi Clinics LLCGroup PAC ID 3870773914, 21 clinicians

Practice addresses (Care Compare)

499 Gloster Creek VLG
Suite A2
Tupelo, MS 38801-4749
Phone (662) 620-6800

830 S Gloster St
Tupelo, MS 38801-4934
Phone (662) 377-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Services LLC CurrentSince Nov 29, 2018 Accepting new patients
North Mississippi Clinics LLC Cardiovascular Disease CurrentSince Mar 21, 2023 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Clinics LLC Cardiovascular Disease CurrentSince Mar 21, 2023 Accepting new patients
Cardiology Associates of North Ms PA Cardiovascular Disease CurrentSince Sep 20, 1999 Accepting new patients
North Mississippi Medical Center Services LLC CurrentSince Nov 29, 2018 Accepting new patients
Webster Health Services, Inc. Past Accepting new patients
Baptist Memorial Hospital - Golden Triangle Inc. Past Accepting new patients

Locations

2459 5th St N
Columbus, MS 39705
Phone (662) 327-3092

499 Gloster Creek Vlg
Ste A2
Tupelo, MS 38801
Phone (662) 620-6800

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

Interoperability endpoints

  • Direct secure messaging: douglashill@nmhs.medalliesdirect.net

Organizations & group practices 9

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

Hospital & facility affiliations 4

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1063504157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG STE A2",
            "address_2": "CARDIOLOGY ASSOCIATES OF NORTH MS",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014749",
            "telephone_number": "662-620-6800",
            "fax_number": "662-620-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG STE A2",
            "address_2": "CARDIOLOGY ASSOCIATES OF NORTH MS",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014749",
            "telephone_number": "662-620-6800",
            "fax_number": "662-620-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "DOUGLAS",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "15773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119486",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.