Individual provider Active NPI

John Brooks Averette, MD

  • Gastroenterology Physician
  • Tupelo, MS
National Provider Identifier
1366477390
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
19342 Issued in MS
Practice address
589 Garfield St Ste 201
Tupelo, MS 38801-6301
Phone
(662) 680-5565
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 19342 MS Primary

Addresses

Primary practice location

589 Garfield St Ste 201
Tupelo, MS 38801-6301

Mailing address

PO Box 381468
Germantown, TN 38183-1468
Phone (662) 680-5565

Other identifiers 1

IdentifierTypeStateIssuer
100164341MedicaidMS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060913000211 MS Practitioner - GastroenterologyPractitioner - Internal Medicine 8527062181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Alabama School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Center of the Midsouth PLLCGroup PAC ID 4880619824, 148 clinicians

Practice addresses (Care Compare)

589 Garfield St
Suite 201
Tupelo, MS 38801-6301
Phone (662) 680-5565

Hospital & facility affiliations

  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy168
Upper gastrointestinal (GI) endoscopy for acid reflux208

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
G I Diagnostic and Therapeutic Center LLC Gastroenterology Current Accepting new patients
Gastroenterology Center of the Midsouth PLLC Gastroenterology CurrentSince Jul 1, 2021 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
DHS Anesthesia, LLC Past Accepting new patients
Center for Digestive Health LLC Past Accepting new patients

Locations

7668 Airways Blvd
Bldg 2
Southaven, MS 38671
Phone (901) 766-9490

589 Garfield St
Ste 201
Tupelo, MS 38801
Phone (662) 680-5565

Interoperability endpoints

  • Direct secure messaging: johnaverette@nmhs.medalliesdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1366477390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381468",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831468",
            "telephone_number": "662-680-5565",
            "fax_number": "662-680-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 GARFIELD ST STE 201",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016301",
            "telephone_number": "662-680-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERETTE",
        "first_name": "JOHN",
        "middle_name": "BROOKS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MS",
            "license": "19342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100164341",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.