Active NPI
John C Hancock, MD
- Anatomic Pathology & Clinical Pathology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 12120
- Practice address
- 969 Lakeland Dr
Jackson, MS 39216-4606 - Phone
- (607) 200-6762
- NPI assigned
- Jan 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Pathology) Physician | 207ZH0000X | 12120 | MS | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 12120 | MS | Primary |
Addresses
Primary practice location
969 Lakeland Dr
Jackson, MS 39216-4606
Mailing address
969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-6762
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01435504 | Other | MS | RAILROAD MEDICARE PTAN |
| 1980986 | Medicaid | LA | |
| 00113018 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Mississippi School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5900 College Rd
Key West, FL 33040-4342
Phone (813) 490-7206
Hospital & facility affiliations
- Lower Keys Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12120 | MS | MD | Hematology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruffolo Hooper & Associates MD PA | Hematology | Current | Accepting new patients |
| Natchez Pathology Laboratory | Past | Accepting new patients |
Locations
13685 Doctors Way
Ste 330
Fort Myers, FL 33912
Phone (239) 224-3501
5900 W Junior College Rd
Key West, FL 33040
Phone (305) 294-5531
5755 Hoover Blvd
Tampa, FL 33634
5751 Hoover Blvd
Tampa, FL 33634
3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200
2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000
Organizations & group practices 2
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Tampa, FL
- NPI 1790732360
Hematology
-
- Clinical Medical Laboratory
- Natchez, MS
- NPI 1508915349
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Key West, FL
- NPI 1619922077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1720067994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "969 LAKELAND DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164606",
"telephone_number": "601-200-6762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "969 LAKELAND DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164606",
"telephone_number": "607-200-6762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-16",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "MS",
"license": "12120",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MS",
"license": "12120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P01435504",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1980986",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00113018",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.