Individual provider Active NPI

Sidney Stuart Hill

  • Family Nurse Practitioner
  • Philadelphia, MS
National Provider Identifier
1699310854
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904860 Issued in MS
Practice address
1001 Holland Ave
Philadelphia, MS 39350-2161
Phone
(601) 663-1257
NPI assigned
Nov 12, 2019
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904860 MS Primary
Registered Nurse 163W00000X 869137 MS

Addresses

Primary practice location

1001 Holland Ave
Philadelphia, MS 39350-2161

Mailing address

1001 Holland Ave
Philadelphia, MS 39350-2161
Phone (601) 663-1257

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
I20220113001534 MS Practitioner - Nurse Practitioner 4284026725 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neshoba County General HospitalGroup PAC ID 6204738289, 30 clinicians

Practice addresses (Care Compare)

1002 Saint Francis Dr
Philadelphia, MS 39350-2030
Phone (601) 663-1200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
869137MSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Neshoba County General Hospital CurrentSince Oct 27, 2021 Accepting new patients
Neshoba County General Hospital CurrentSince Oct 27, 2021 Accepting new patients
Neshoba County General Hospital Current Accepting new patients
Laird Hospital, Inc. Family CurrentSince Dec 1, 2021 Accepting new patients
Kemper Cah, Inc CurrentSince Dec 1, 2021 Accepting new patients
Rush Medical Foundation CurrentSince Dec 1, 2021 Accepting new patients
Kemper Cah, Inc. Current Accepting new patients
Laird Hospital, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Rush Medical Foundation Current Accepting new patients
Medical Foundation, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Scott Regional Medical Center, Inc Family CurrentSince Dec 1, 2021 Accepting new patients
Kemper, Cah, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Scott Regional Medical Center, Inc. Family CurrentSince Dec 1, 2021 Accepting new patients
Medical Foundation, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Laird Hospital, Inc. Current Accepting new patients
Rush Medical Foundation CurrentSince Dec 1, 2021 Accepting new patients
Neshoba County General Hospital PastSince Oct 27, 2021 Accepting new patients

Locations

9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874

14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

317 Highway 13 S
Morton, MS 39117
Phone (601) 732-6301

1001 Holland Ave
Philadelphia, MS 39350
Phone (601) 663-1200

1002 Saint Francis Dr
Philadelphia, MS 39350
Phone (601) 663-1200

603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123

605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925

25117 Highway 15
Union, MS 39365
Phone (601) 774-8214

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 1

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": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1699310854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HOLLAND AVE",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502161",
            "telephone_number": "601-663-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HOLLAND AVE",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502161",
            "telephone_number": "601-663-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "SIDNEY",
        "middle_name": "STUART",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-12",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904860",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "869137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, MS

Sources for this page

Verify at the official NPI Registry.