NPIMap

Individual provider Active NPI

Eric B Hines, MD

  • Family Medicine Physician
  • Sparta, MO
National Provider Identifier
1689289282
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2020029244 Issued in MO
Practice address
155 Village Dr
Sparta, MO 65753-8104
Phone
(417) 634-4203
Fax
(417) 634-4505
NPI assigned
Sep 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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 2020029244 MO Primary

Addresses

Primary practice location

155 Village Dr
Sparta, MO 65753-8104

Mailing address

155 Village Dr
Sparta, MO 65753-8104
Phone (417) 634-4203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20250818000290 MO Practitioner - Family Practice 1456735216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sgoh Acquisition IncGroup PAC ID 5092616276, 95 clinicians

Practice addresses (Care Compare)

1540 E Evergreen St
Springfield, MO 65803-4300
Phone (417) 823-2900

Hospital & facility affiliations

  • Amedisys Home Health of Missouri Home health agency, Springfield, MO, CCN 267607
  • Seasons Hospice, Inc Hospice, Springfield, MO, CCN 261602
  • St Croix Hospice Hospice, Bolivar, MO, CCN 261630
  • Phoenix Home Care and Hospice Hospice, Springfield, MO, CCN 261667
  • Preferred Hospice of Missouri (Southwest), LLC Hospice, Ozark, MO, CCN 261635
  • Haven Hospice Hospice, Ozark, MO, CCN 261662
  • Ozarks Community Hospital of Gravette Hospital, Gravette, AR, CCN 041331
  • Woodland Care & Rehab Center Nursing home, Springfield, MO, CCN 265749
  • Ozark Care & Rehab Center Nursing home, Ozark, MO, CCN 265753

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020029244MOMDFamily Medicine Physician
0657SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sgoh Acquisition Inc CurrentSince Aug 1, 2025 Accepting new patients
Primrose Nephrology, Inc. Current Accepting new patients
Sgoh Acquisition Inc CurrentSince Aug 1, 2025 Accepting new patients
Ebg Health Care III, Inc. Past Accepting new patients
Ebg Health Care IV, Inc. Past Accepting new patients

Locations

1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221

106 S Hickory St
Mount Vernon, MO 65712
Phone (417) 466-4110

155 Village Dr
Sparta, MO 65753
Phone (417) 634-4203

1540 E Evergreen St
Springfield, MO 65803
Phone (417) 823-2900

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 9

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1689289282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 VILLAGE DR",
            "city": "SPARTA",
            "state": "MO",
            "postal_code": "657538104",
            "telephone_number": "417-634-4203",
            "fax_number": "417-634-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 VILLAGE DR",
            "city": "SPARTA",
            "state": "MO",
            "postal_code": "657538104",
            "telephone_number": "417-634-4203",
            "fax_number": "417-634-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "ERIC",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2020029244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, MO

Sources for this page

Verify at the official NPI Registry.