Individual provider Active NPI

Benjamin Rawson Hawthorne, FNP-C

  • Family Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1346082161
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906745 Issued in MS
Practice address
1325 E Fortification St
Jackson, MS 39202-2442
Phone
(601) 397-4844
Fax
(601) 351-5980
NPI assigned
Jun 11, 2024
Last updated
May 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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 906745 MS Primary

Addresses

Primary practice location

1325 E Fortification St
Jackson, MS 39202-2442

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 226-4003

Other practice location 1

1201 Highway 49 S Ste 1
Richland, MS 39218-9438
Phone (601) 973-1576

Other practice location 2

102 Lexington Dr # 100
Gluckstadt, MS 39110-6952
Phone (601) 973-1688

Other practice location 3

2173 Main St
Madison, MS 39110-6309
Phone (601) 605-3858

Other practice location 4

151 E Metro Dr Ste 103
Flowood, MS 39232-4405
Phone (601) 992-3288

Other practice location 5

401 Baptist Dr Ste 104
Madison, MS 39110-2010
Phone (601) 973-1504

Other practice location 6

106 Clinton Pkwy
Clinton, MS 39056-4730
Phone (601) 924-9005

Other practice location 7

401 Baptist Dr Ste 100
Madison, MS 39110-2012
Phone (601) 974-8000

Other practice location 8

401 Baptist Dr Ste 401
Madison, MS 39110-2012
Phone (601) 973-1517

Other practice location 9

1200 N State St Ste 500
Jackson, MS 39202-2027
Phone (601) 352-2273

Other practice location 10

110 S Pearson Rd
Pearl, MS 39208-5635
Phone (601) 968-1237

Other practice location 11

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

Other practice location 12

7275 S Siwell Rd
Byram, MS 39272-9767
Phone (601) 373-7722

Other practice location 13

1490 W Government St Ste 10
Brandon, MS 39042-3024
Phone (601) 825-1936

Other practice location 14

1200 N State St Ste Ll-10
Jackson, MS 39202-2000
Phone (601) 714-6421

Other practice location 15

1225 N State St
Jackson, MS 39202-2064
Phone (601) 968-5003

Other practice location 16

3011 Greenfield Rd
Pearl, MS 39208-8712
Phone (601) 825-9000

Other practice location 17

1887 Spillway Rd
Brandon, MS 39047-6066
Phone (601) 992-5532

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
I20240716001349 MS Practitioner - Nurse Practitioner 4789129677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Mississippi School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Sports Medicine and Orthopaedic CenterGroup PAC ID 4981685310, 67 clinicians

Practice addresses (Care Compare)

110 S Pearson Rd
Pearl, MS 39208-5635
Phone (601) 968-1237

1325 E Fortification St
Jackson, MS 39202-2442
Phone (601) 354-4488

4506 Lakeland Dr
Flowood, MS 39232-9583
Phone (601) 354-4488

501 Baptist Dr
Suite 120
Madison, MS 39110-2031
Phone (601) 354-4488

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
906745MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Sports Medicine & Orthopaedic Center CurrentSince Sep 24, 2024 Accepting new patients
Trustcare Primary Care, LLC Past Accepting new patients

Locations

1325 E Fortification St
Jackson, MS 39202
Phone (601) 354-4488

Interoperability endpoints

  • Direct secure messaging: benjamin.hawthorne.1@19538.direct.athenahealth.com
  • Direct secure messaging: bhawthorne5314394@direct.casso.us.com

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.

Hospital & facility affiliations 4

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": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1346082161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "901-226-4003",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E FORTIFICATION ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022442",
            "telephone_number": "601-397-4844",
            "fax_number": "601-351-5980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Highway 49 S Ste 1",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "MS",
            "postal_code": "392189438",
            "country_code": "US",
            "telephone_number": "601-973-1576",
            "fax_number": "601-664-0055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Lexington Dr # 100",
            "address_purpose": "LOCATION",
            "city": "Gluckstadt",
            "state": "MS",
            "postal_code": "391106952",
            "country_code": "US",
            "telephone_number": "601-973-1688",
            "fax_number": "601-973-1690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2173 Main St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391106309",
            "country_code": "US",
            "telephone_number": "601-605-3858",
            "fax_number": "601-605-3898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 E Metro Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392324405",
            "country_code": "US",
            "telephone_number": "601-992-3288",
            "fax_number": "601-992-3188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Baptist Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391102010",
            "country_code": "US",
            "telephone_number": "601-973-1504",
            "fax_number": "769-268-6613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Clinton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MS",
            "postal_code": "390564730",
            "country_code": "US",
            "telephone_number": "601-924-9005",
            "fax_number": "601-973-1622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Baptist Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391102012",
            "country_code": "US",
            "telephone_number": "601-974-8000",
            "fax_number": "601-974-8002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Baptist Dr Ste 401",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391102012",
            "country_code": "US",
            "telephone_number": "601-973-1517",
            "fax_number": "601-973-1623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N State St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022027",
            "country_code": "US",
            "telephone_number": "601-352-2273",
            "fax_number": "601-353-4414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 S Pearson Rd",
            "address_purpose": "LOCATION",
            "city": "Pearl",
            "state": "MS",
            "postal_code": "392085635",
            "country_code": "US",
            "telephone_number": "601-968-1237",
            "fax_number": "601-968-1246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Highway 80 E",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MS",
            "postal_code": "390565122",
            "country_code": "US",
            "telephone_number": "601-708-1480",
            "fax_number": "601-708-1490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7275 S Siwell Rd",
            "address_purpose": "LOCATION",
            "city": "Byram",
            "state": "MS",
            "postal_code": "392729767",
            "country_code": "US",
            "telephone_number": "601-373-7722",
            "fax_number": "601-373-7378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1490 W Government St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390423024",
            "country_code": "US",
            "telephone_number": "601-825-1936",
            "fax_number": "601-825-1937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N State St Ste Ll-10",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022000",
            "country_code": "US",
            "telephone_number": "601-714-6421",
            "fax_number": "601-714-6421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022064",
            "country_code": "US",
            "telephone_number": "601-968-5003",
            "fax_number": "601-974-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3011 Greenfield Rd",
            "address_purpose": "LOCATION",
            "city": "Pearl",
            "state": "MS",
            "postal_code": "392088712",
            "country_code": "US",
            "telephone_number": "601-825-9000",
            "fax_number": "601-825-2513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1887 Spillway Rd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390476066",
            "country_code": "US",
            "telephone_number": "601-992-5532",
            "fax_number": "601-992-5547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "BENJAMIN",
        "middle_name": "RAWSON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.