Individual provider Active NPI

Bonnie Medders Hughes

  • Nurse Practitioner
  • McComb, MS
National Provider Identifier
1760100531
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
905446 Issued in MS
Practice address
300 Rawls Dr Ste I
McComb, MS 39648-2877
Phone
(601) 249-4710
Fax
(601) 249-4716
NPI assigned
Aug 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 905446 MS Primary

Addresses

Primary practice location

300 Rawls Dr Ste I
McComb, MS 39648-2877

Mailing address

PO Box 490
McComb, MS 39649-0490
Phone (601) 249-4710

Other practice location 1

200 Marion Ave
McComb, MS 39648-2706
Phone (601) 250-4381

Other practice location 2

1065 E Broad St
Monticello, MS 39654-7703
Phone (601) 249-4710

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
I20221103000670 MS Practitioner - Nurse Practitioner 5698142644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Mississippi School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Mississippi Regional Medical CenterGroup PAC ID 5193633907, 82 clinicians

Practice addresses (Care Compare)

1065 E Broad St
Gastroenterology
Monticello, MS 39654-7703
Phone (601) 249-4710

Hospital & facility affiliations

  • Southwest Ms Regional Medical Center Hospital, McComb, MS, CCN 250097
  • King'S Daughters Medical Center-Brookhaven Hospital, Brookhaven, MS, CCN 250057

Merit-based Incentive Payment System (MIPS)

Final score
89.09 of 100Reported as apm
Quality
73.43
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
905446MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Mississippi Regional Medical Center Current Accepting new patients
Southwest Mississippi Regional Medical Center CurrentSince Sep 1, 2022 Accepting new patients
Southwest Mississippi Regional Medical Center CurrentSince Sep 1, 2022 Accepting new patients
Southwest Ms Regional Medical Center Past Accepting new patients

Locations

300 Rawls Dr
Ste 1200
McComb, MS 39648
Phone (601) 249-4282

300 Rawls Dr
Ste I
McComb, MS 39648
Phone (601) 249-4710

215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180

200 Marion Ave
McComb, MS 39648
Phone (601) 250-4381

1065 E Broad St
Monticello, MS 39654
Phone (601) 249-1350

Organizations & group practices 4

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": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1760100531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396490490",
            "telephone_number": "601-249-4710",
            "fax_number": "601-249-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RAWLS DR STE I",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482877",
            "telephone_number": "601-249-4710",
            "fax_number": "601-249-4716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Marion Ave",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "396482706",
            "country_code": "US",
            "telephone_number": "601-250-4381",
            "fax_number": "601-250-4382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1065 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "MS",
            "postal_code": "396547703",
            "country_code": "US",
            "telephone_number": "601-249-4710",
            "fax_number": "601-249-4716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "BONNIE",
        "middle_name": "MEDDERS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "905446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

Verify at the official NPI Registry.