NPIMap

Individual provider Active NPI

Vernon T. Hughes Jr., D.O.

  • Emergency Medicine Physician
  • Clarksdale, MS
National Provider Identifier
1427073170
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
13620 Issued in MS
Practice address
1970 Hospital Dr
Clarksdale, MS 38614-7202
Phone
(662) 624-3580
NPI assigned
Jul 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 13620 MS Primary

Addresses

Primary practice location

1970 Hospital Dr
Clarksdale, MS 38614-7202

Mailing address

122 Westover Dr
Clarksdale, MS 38614-9767
Phone (662) 627-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051102000811 MS Practitioner - Emergency Medicine 5890713416 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
West Virginia School of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Medical FoundationGroup PAC ID 2163777046, 8 clinicians
Region VI Community Mental Health CommissionGroup PAC ID 0749183663, 7 clinicians

Practice addresses (Care Compare)

1022 Martin Luther King Dr
Marks, MS 38646-1832
Phone (662) 326-3500

1024 Martin Luther King Dr
Marks, MS 38646-1832
Phone (662) 326-3502

1742 Cheryl St
Clarksdale, MS 38614-7218
Phone (662) 627-7267

551 Medical Dr
Clarksdale, MS 38614-6733
Phone (662) 624-2531

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Region VI Community Mental Health Commission CurrentSince Jun 30, 2024 Accepting new patients
Family First Clinic of Clarksdale, PLLC CurrentSince Feb 1, 2012 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Mar 1, 2016 Accepting new patients
Delta Medical Foundation CurrentSince Apr 14, 2019 Accepting new patients
Delta Medical Foundation Current Accepting new patients
Delta Medical Foundation CurrentSince Apr 14, 2019 Accepting new patients
Byrd Family Medical Clinic CurrentSince Oct 1, 2018 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Mar 1, 2016 Accepting new patients
Clarksdale Hma LLC Past Accepting new patients
Garden Park Past Accepting new patients

Locations

1015 Lee Dr
Ste 13
Clarksdale, MS 38614
Phone (662) 592-4170

1742 Cheryl St
Clarksdale, MS 38614
Phone (662) 627-5247

551 Medical Dr
Clarksdale, MS 38614
Phone (662) 624-2531

705 N State St
Clarksdale, MS 38614
Phone (662) 621-2192

330 N Broad St
Forest, MS 39074
Phone (601) 469-4151

1022 Martin Luther King Dr
Marks, MS 38646
Phone (662) 326-3500

1024 Martin Luther King Dr
Marks, MS 38646
Phone (662) 326-3500

400 Locust St
Marks, MS 38646
Phone (662) 326-4445

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17623/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vernon.hughes.1@17623.direct.athenahealth.com

Organizations & group practices 10

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 3

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427073170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 WESTOVER DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386149767",
            "telephone_number": "662-627-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 HOSPITAL DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147202",
            "telephone_number": "662-624-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "VERNON",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "13620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksdale, MS

Sources for this page

Verify at the official NPI Registry.