Individual provider Active NPI

Gray Hilsman, MD

  • Psychiatry Physician
  • Ridgeland, MS
National Provider Identifier
1164450755
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
07019 Issued in MS
Practice address
853 Wilson Drive
Suite B
Ridgeland, MS 39157-4506
Phone
(601) 991-3080
Fax
(601) 991-0923
NPI assigned
Jun 30, 2006
Last updated
Dec 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 07019 MS Primary

Addresses

Primary practice location

853 Wilson Drive
Suite B
Ridgeland, MS 39157-4506

Mailing address

853 Wilson Drive
Suite B
Ridgeland, MS 39157-4506
Phone (601) 991-3080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Yazoo Mental Health Service Past Accepting new patients
Vicksburg Clinic LLC Past Accepting new patients
Three Oaks Behavioral Health of Ridgeland, LLC PastSince Jan 1, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1164450755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 WILSON DRIVE",
            "address_2": "SUITE B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574506",
            "telephone_number": "601-991-3080",
            "fax_number": "601-991-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 WILSON DRIVE",
            "address_2": "SUITE B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574506",
            "telephone_number": "601-991-3080",
            "fax_number": "601-991-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILSMAN",
        "first_name": "GRAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "07019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.