Individual provider Active NPI

Hope Perkins, DO

  • Family Medicine Physician
  • Ellisville, MS
National Provider Identifier
1659955482
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33714 Issued in MS
Practice address
80 Hal Crocker Rd
Ellisville, MS 39437-2089
Phone
(601) 477-2221
Fax
(601) 477-2223
NPI assigned
May 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33714 MS Primary

Addresses

Primary practice location

80 Hal Crocker Rd
Ellisville, MS 39437-2089

Mailing address

PO Box 177
Ellisville, MS 39437-0177
Phone (601) 477-2221

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
I20240905004142 MS Practitioner - Family Practice 5799174892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Alabama College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Ridge Family Clinic LLCGroup PAC ID 7416194790, 3 clinicians

Practice addresses (Care Compare)

80 Hal Crocker Rd
Ellisville, MS 39437-2089
Phone (601) 477-2221

Hospital & facility affiliations

  • Deaconess Hospice Hospice, Laurel, MS, CCN 251535
  • South Central Reg Med Ctr Hospital, Laurel, MS, CCN 250058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33714MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Ridge Family Clinic, LLC Family Medicine CurrentSince Sep 1, 2024 Accepting new patients

Locations

80 Hal Crocker Rd
Ellisville, MS 39437
Phone (601) 477-2221

Interoperability endpoints

  • Direct secure messaging: hope.perkins.1@6104.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6104/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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 2

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": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1659955482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "ELLISVILLE",
            "state": "MS",
            "postal_code": "394370177",
            "telephone_number": "601-477-2221",
            "fax_number": "601-477-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HAL CROCKER RD",
            "city": "ELLISVILLE",
            "state": "MS",
            "postal_code": "394372089",
            "telephone_number": "601-477-2221",
            "fax_number": "601-477-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "HOPE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "33714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellisville, MS

Sources for this page

Verify at the official NPI Registry.