Individual provider Active NPI

John Carey Fitzpatrick, MD

  • Ophthalmology Physician
  • Hattiesburg, MS
National Provider Identifier
1700440930
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35932 Issued in MS
Practice address
109 Millsaps Dr
Hattiesburg, MS 39402-1587
Phone
(601) 255-0736
Fax
(601) 255-0735
NPI assigned
Apr 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35932 MS Primary

Addresses

Primary practice location

109 Millsaps Dr
Hattiesburg, MS 39402-1587

Mailing address

109 Millsaps Dr
Hattiesburg, MS 39402-1587
Phone (601) 255-0736

Other identifiers 1

IdentifierTypeStateIssuer
200028585MedicaidMS

Other names 1

  • Jack Fitzpatrick Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MS2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230321002387 TX Practitioner - Ophthalmology 9032583679 Reassigns benefits to 1 organization
I20260518000629 MS Practitioner - Ophthalmology 9032583679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Mississippi School of Medicine, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

109 Millsaps Dr
Suite B
Hattiesburg, MS 39402-1359

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGTXMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Retina Associates PLLC Ophthalmology CurrentSince Apr 1, 2023 Accepting new patients
Retina Specialists of Mississippi, PLLC Ophthalmology CurrentSince May 1, 2026 Accepting new patients
Austin Retina Associates PLLC Ophthalmology CurrentSince Apr 1, 2023 Accepting new patients
Sunil Gupta MD LLC Ophthalmology PastSince May 1, 2026 Accepting new patients
Vanderbilt University Medical Center Past Accepting new patients
Glaucoma Institute of Austin PA Ophthalmology Past Accepting new patients
Vanderbilt University Medical Center Ophthalmology Past Accepting new patients

Locations

109 Millsaps Dr
Ste B
Hattiesburg, MS 39402
Phone (601) 225-0736

1512 W 35th St
Ste 200
Austin, TX 78703

801 W 38th St
Ste 200
Austin, TX 78705

3124 E Central Texas Expy
Killeen, TX 76543
Phone (254) 690-4733

1180 Seton Pkwy
Ste 200
Kyle, TX 78640
Phone (512) 268-0231

101 Medical Pkwy
Ste 240
Lakeway, TX 78738

200 Max Starcke Dam Rd
Ste 240
Marble Falls, TX 78654

319 W Harris Ave
San Angelo, TX 76903
Phone (325) 658-8595

220 Opportunity Blvd
Unit 2A
San Marcos, TX 78666

2400 Ambassador Dr
Waco, TX 76712
Phone (254) 756-4457

Interoperability endpoints

  • Direct secure messaging: jfitzpatrick@austinretina.intellechartdirect.net

Organizations & group practices 7

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 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": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700440930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MILLSAPS DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021587",
            "telephone_number": "601-255-0736",
            "fax_number": "601-255-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MILLSAPS DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021587",
            "telephone_number": "601-255-0736",
            "fax_number": "601-255-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "JOHN",
        "middle_name": "CAREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "35932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200028585",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "FITZPATRICK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.