Individual provider Active NPI

Deborah Hughes, FNP-C

  • General Practice Physician
  • Grenada, MS
National Provider Identifier
1497640338
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
907469 Issued in MS
Practice address
1240 Fairground Rd Ste a
Grenada, MS 38901-4516
Phone
(662) 226-3711
NPI assigned
Jun 11, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 907469 MS Primary

Addresses

Primary practice location

1240 Fairground Rd Ste a
Grenada, MS 38901-4516

Mailing address

875 W Govan St
Grenada, MS 38901-3415
Phone (662) 809-0201

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
I20251104004307 MS Practitioner - Nurse Practitioner 5092205476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ms State Department of HealthGroup PAC ID 0244129245, 21 clinicians

Practice addresses (Care Compare)

570 E Woodrow Wilson Ave
Jackson, MS 39216-4538
Phone (601) 576-7345

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
907469MSMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ms State Department of Health CurrentSince Sep 1, 2025 Accepting new patients
Ms State Dept of Health CurrentSince Sep 1, 2025 Accepting new patients
Mississippi State Department of Health Current Accepting new patients

Locations

1240 Fairground Rd
Ste A
Grenada, MS 38901
Phone (662) 226-3711

570 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 576-7345

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1497640338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 W GOVAN ST",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389013415",
            "telephone_number": "662-809-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 FAIRGROUND RD STE A",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014516",
            "telephone_number": "662-226-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "DEBORAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MS",
            "license": "907469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grenada, MS

Sources for this page

Verify at the official NPI Registry.