Individual provider Active NPI

Bryce Hughes, PNP

  • Pediatric Nurse Practitioner
  • Gluckstadt, MS
National Provider Identifier
1326818261
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
906472 Issued in MS
Practice address
101 Lexington Dr
Gluckstadt, MS 39110-6985
Phone
(601) 707-3771
NPI assigned
Jan 2, 2024
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 906472 MS Primary
Registered Nurse 163W00000X 911931 MS

Addresses

Primary practice location

101 Lexington Dr
Gluckstadt, MS 39110-6985

Mailing address

803 Liberty Rd
Flowood, MS 39232-9000
Phone (601) 714-1967

Other practice location 1

803 Liberty Rd
Flowood, MS 39232-9000
Phone (601) 714-1967

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
I20240327001175 MS Practitioner - Nurse Practitioner 0244677185 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
911931MSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gluckstadt TC Kids, LLC CurrentSince Mar 18, 2024 Accepting new patients
Trustcare Kids, LLC CurrentSince Mar 18, 2024 Accepting new patients
Southern Specialty Clinic, LLC CurrentSince Jun 8, 2026 Accepting new patients
Southern Specialty Clinic, LLC CurrentSince Jun 8, 2026 Accepting new patients

Locations

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

803 Liberty Rd
Flowood, MS 39232
Phone (601) 714-1967

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

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

Interoperability endpoints

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

Organizations & group practices 4

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": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1326818261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 LIBERTY RD",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329000",
            "telephone_number": "601-714-1967",
            "fax_number": "601-714-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LEXINGTON DR",
            "city": "GLUCKSTADT",
            "state": "MS",
            "postal_code": "391106985",
            "telephone_number": "601-707-3771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Liberty Rd",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329000",
            "country_code": "US",
            "telephone_number": "601-714-1967",
            "fax_number": "601-714-1966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "BRYCE",
        "credential": "PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MS",
            "license": "906472",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "911931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gluckstadt, MS

Sources for this page

Verify at the official NPI Registry.