Mississippi Ear, Nose and Throat Surgical Associates, P.C.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

MISSISSIPPI EAR, NOSE AND THROAT SURGICAL ASSOCIATES, P.C.

Practice address

161 River Oaks Drive
Suite 202
Madison, MS 39110

Phone

(601) 709-7700

Fax

(601) 709-7701

NPI assigned

May 15, 2007

Last updated

May 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Peyton Hines, MDNPI 1023455169

Title

Physician

Phone

(662) 571-7129

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mississippi Ear Nose and Throat Surgical Associates

  • Otolaryngology Physician
  • Kosciusko, MS
  • NPI 1245504026

  O20040825000904

  Same enrollment
• Mississippi Ear, Nose and Throat Surgical Associates

  • Otolaryngology Physician
  • Jackson, MS
  • NPI 1679617773

  O20040825000904

  Same enrollment
• Mississippi Ear, Nose and Throat Surgical Associates, PC

  • Specialist
  • Flowood, MS
  • NPI 1679905210

  O20040825000904

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John P Hines, MD

  • Otolaryngology Physician
  • Flowood, MS
  • NPI 1023455169
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620432000000",
    "number": "1821204736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 FLOWOOD DR STE 303",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329306",
            "telephone_number": "601-709-7700",
            "fax_number": "601-709-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 RIVER OAKS DRIVE",
            "address_2": "SUITE 202",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "39110",
            "telephone_number": "601-709-7700",
            "fax_number": "601-709-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI EAR, NOSE AND THROAT SURGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2021-05-08",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PEYTON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "662-571-7129",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023455169",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02652740",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mississippi Center for Advanced Medicine PC (Mississippi Center for Advanced Medicine)
• Mississippi Center for Advanced Medicine, PC
• Mississippi Center for Advanced Medicine, PC
• Mississippi CVS Pharmacy, L.L.C (CVS Pharmacy #04993)
• Mississippi CVS Pharmacy, L.L.C. (CVS Pharmacy # 08310)
• Mississippi Eye Group, LLC (Mississippi Eye Group)
• Mississippi Medical Group, Inc
• Mississippi Nurse Practitioners Inc
• Mississippi Premier Plastic Surgery, PLLC
• Mississippi Retina Associates,PLLC

• Otolaryngology Physician in Madison, MS
• Providers in Madison, MS by specialty
• Otolaryngology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.