Hancock Internal Medicine Services, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HANCOCK INTERNAL MEDICINE SERVICES, LLC

Practice address

202 N 1St St
Booneville, MS 38829-2718

Phone

(662) 340-1138

NPI assigned

Feb 7, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Michael Hancock, MDNPI 1104236504

Title

President

Phone

(662) 340-1138

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Hancock, M.D.

  • Internal Medicine Physician
  • Booneville, MS
  • NPI 1104236504

  AL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648339200000",
    "number": "1245984418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388290369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N 1ST ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388292718",
            "telephone_number": "662-340-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK INTERNAL MEDICINE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-03-27",
        "certification_date": "2022-03-27",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-340-1138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danita Godwin, CCSS
• Ken G Goodwin, DMD, PA
• Dedrick Michelle Grady, MSW
• David N Greenhaw, M. D.
• Stacey Hall
• Mary Grace Hancock, M.D.
• Michael Hancock, M.D.
• Kim Latice Harvey-Cooper, LPC
• Desiree Brooke Haugh, NP-C
• Beth Haynes, R.N.

• Internal Medicine Physician in Booneville, MS
• Providers in Booneville, 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 Mar 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.