Individual provider Active NPI

Cody O'Neil Adkins

  • Family Nurse Practitioner
  • Utica, MS
National Provider Identifier
1134908593
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906296 Issued in MS
Practice address
2330 Lebanon Pine Grove Rd
Utica, MS 39175-9380
Phone
(601) 502-4604
NPI assigned
Sep 25, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 906296 MS Primary

Addresses

Primary practice location

2330 Lebanon Pine Grove Rd
Utica, MS 39175-9380

Mailing address

2330 Lebanon Pine Grove Rd
Utica, MS 39175-9380
Phone (601) 502-4604

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231221003581 MS Practitioner - Nurse Practitioner 0547610123 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson HB Medical Services LLCGroup PAC ID 6103273131, 50 clinicians
Natchez HB Medical Services LLCGroup PAC ID 8921461286, 30 clinicians
Trustcare Health, LLCGroup PAC ID 0547427858, 40 clinicians

Practice addresses (Care Compare)

1850 Chadwick Dr
Jackson, MS 39204-3404
Phone (601) 376-2832

54 Sergeant Prentiss Dr
Natchez, MS 39120-4726
Phone (601) 443-2100

601 Hwy 80 E
Clinton, MS 39056-5122
Phone (601) 708-1480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
906296MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gluckstadt TC Kids, LLC CurrentSince Oct 31, 2025 Accepting new patients
Trustcare Health, LLC Family Medicine CurrentSince Dec 1, 2023 Accepting new patients
Natchez HB Medical Services LLC CurrentSince May 27, 2025 Accepting new patients
Jackson HB Medical Services LLC CurrentSince Jan 15, 2025 Accepting new patients
Trustcare Primary Care, LLC Family Medicine Past Accepting new patients
Advantage Health Saint Mary'S Medical Group Past Accepting new patients

Locations

1645 W Government St
Ste F
Brandon, MS 39042
Phone (601) 829-6600

1651 W Government Cv
Brandon, MS 39042
Phone (601) 487-4340

601 Highway 80 E
Clinton, MS 39056
Phone (601) 708-1480

1710 Old Fannin Rd
Flowood, MS 39232
Phone (601) 487-9191

101 Lexington Dr
Ste A
Gluckstadt, MS 39110
Phone (601) 427-5657

6176 U S Highway 98
Hattiesburg, MS 39402
Phone (601) 475-0444

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

1073 Highway 51
Ste 101
Madison, MS 39110
Phone (601) 499-1840

1073 Highway 51
Ste 105
Madison, MS 39110
Phone (601) 203-1570

54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100

1051 Highland Colony Pkwy
Ste E
Ridgeland, MS 39157
Phone (601) 707-3737

1067 Highland Colony Pkwy
Ridgeland, MS 39157
Phone (601) 707-3490

1107 Highland Colony Pkwy
Ste 219
Ridgeland, MS 39157
Phone (601) 499-0651

1051 Highland Colony Pkwy
Ridgeland, MS 39157
Phone (601) 707-3737

786 Lake Harbour Dr
Ridgeland, MS 39157
Phone (601) 499-0022

Interoperability endpoints

  • Direct secure messaging: cody.adkins.1@19538.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19538/brand/2/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19538/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1134908593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 LEBANON PINE GROVE RD",
            "city": "UTICA",
            "state": "MS",
            "postal_code": "391759380",
            "telephone_number": "601-502-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 LEBANON PINE GROVE RD",
            "city": "UTICA",
            "state": "MS",
            "postal_code": "391759380",
            "telephone_number": "601-502-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADKINS",
        "first_name": "CODY",
        "middle_name": "O'NEIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, MS

Sources for this page

Verify at the official NPI Registry.