Individual provider Active NPI

Tara Hughes

  • Surgery Physician
  • Jackson, MS
National Provider Identifier
1063806198
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
33706 Issued in MS
Practice address
1190 N State St Ste 502
Jackson, MS 39202-2414
Phone
(601) 944-1781
Fax
(601) 353-0789
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 33706 MS Primary

Addresses

Primary practice location

1190 N State St Ste 502
Jackson, MS 39202-2414

Mailing address

2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-1292

Other practice location 1

2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-1292

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
I20240913003148 MS Practitioner - General Surgery 2860708161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Mississippi School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Surgical Associates PLLCGroup PAC ID 1355359506, 27 clinicians

Practice addresses (Care Compare)

1190 N State St
Suite 502
Jackson, MS 39202-2414
Phone (601) 944-1781

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.34 of 100Reported as group
Quality
80.8
Promoting interoperability
100
Improvement activities
40
Cost
76.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision16
Removal of tissue12
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33706MSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Surgical Associates PLLC Surgery CurrentSince Jun 30, 2024 Accepting new patients

Locations

1190 N State St
Ste L1
Jackson, MS 39202
Phone (601) 292-4292

1190 N State St
Ste 502
Jackson, MS 39202
Phone (601) 944-1781

Interoperability endpoints

  • FHIR API: https://rxedi.bmhcc.org/prd-fhir/CSA/api/FHIR/R4

Organizations & group practices 1

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1063806198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-815-1292",
            "fax_number": "601-984-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 N STATE ST STE 502",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022414",
            "telephone_number": "601-944-1781",
            "fax_number": "601-353-0789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-815-1292",
            "fax_number": "601-984-5110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "33706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.