Individual provider Active NPI

Dustin Nicolas Hill, M.D.

  • Emergency Medicine Physician
  • Corinth, MS
National Provider Identifier
1497011696
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
71705 Issued in GA
Practice address
611 Alcorn Dr
Corinth, MS 38834-9321
Phone
(225) 335-0475
NPI assigned
Apr 2, 2012
Last updated
Nov 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X 23692 MS
Emergency Medicine Physician 207P00000X 5859 GA
Emergency Medicine Physician 207P00000X ME137031 FL
Emergency Medicine Physician 207P00000X 71705 GA Primary

Addresses

Primary practice location

611 Alcorn Dr
Corinth, MS 38834-9321

Mailing address

39 County Road 617
Corinth, MS 38834-1130
Phone (225) 335-0475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, FL, GA, KY, TN, VA6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20150717000484 MS Practitioner - Emergency Medicine 1153634381 Reassigns benefits to 3 organizations
I20181107001901 FL Practitioner - Emergency Medicine 1153634381 Reassigns benefits to 3 organizations
I20190920003082 GA Practitioner - Emergency Medicine 1153634381 Reassigns benefits to 4 organizations
I20201210003090 KY Practitioner - Emergency Medicine 1153634381 Reassigns benefits to 2 organizations
I20250502000360 TN Practitioner - Emergency Medicine 1153634381 Reassigns benefits to 2 organizations
I20260618000419 VA Practitioner - Emergency Medicine 1153634381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians
Florida Emergency Physicians Kang and Associates MD LLCGroup PAC ID 0143113878, 318 clinicians

Practice addresses (Care Compare)

1266 Hwy 515 S
Jasper, GA 30143-4872
Phone (706) 692-2441

1602 Skipwith Rd
Richmond, VA 23229-5205
Phone (804) 289-4500

1700 Old Lebanon Rd
Campbellsville, KY 42718-9615
Phone (270) 465-3561

1850 Old Knoxville Rd
Tazewell, TN 37879-3625
Phone (423) 626-4211

400 Charter Blvd
Macon, GA 31210-4831
Phone (478) 757-8200

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 323-5762

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

742 Middle Creek Rd
Sevierville, TN 37862-5019
Phone (865) 908-3608

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5859GAMDEmergency Medicine Physician
71705GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Regional Health Center CurrentSince Jan 1, 2021 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 1, 2023 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Regional Health Center CurrentSince Jan 1, 2021 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Oct 1, 2024 Accepting new patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Jul 31, 2019 Accepting new patients
Magnolia Ear Nose & Throat Current Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Sep 26, 2018 Accepting new patients
Magnolia Regional Health Center Emergency Medicine Current Accepting new patients
Shi Keys LLC Emergency Medicine CurrentSince Dec 15, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 1, 2023 Accepting new patients

Locations (25 of 27)

1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

3301 Overseas Hwy
Marathon, FL 33050
Phone (305) 743-5533

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

91500 Overseas Hwy
Tavernier, FL 33070
Phone (305) 434-3000

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

2400 Eastpoint Pkwy
Ste 100
Louisville, KY 40223
Phone (502) 210-4700

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

1001 S Harper Rd
Corinth, MS 38834
Phone (662) 286-1499

401 Alcorn Dr
Ste 2C
Corinth, MS 38834
Phone (662) 286-9255

401 Alcorn Dr
Ste 2D
Corinth, MS 38834
Phone (662) 293-1565

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

Interoperability endpoints

  • Direct secure messaging: dhill13@yourcarecommunity.org
  • Direct secure messaging: dustinhill@magnolia.medalliesdirect.net

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 6

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": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1497011696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 COUNTY ROAD 617",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388341130",
            "telephone_number": "225-335-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349321",
            "telephone_number": "225-335-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "DUSTIN",
        "middle_name": "NICOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "23692",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "5859",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME137031",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "71705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.