Organization Active NPI

Hooks Diabetes & Medicine Clinic, PLLC

  • Medical Specialty Clinic/Center
  • Tupelo, MS
National Provider Identifier
1841646148
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
R867568 Issued in MS
Legal business name
HOOKS DIABETES & MEDICINE CLINIC, PLLC
Practice address
2625 Traceland Dr Ste a
Tupelo, MS 38801-4240
Phone
(662) 260-4708
Fax
(662) 260-4860
NPI assigned
May 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Authorized official

Name
Ms. Nancy D Hooks, NPNPI 1174896245
Title
Owner/Provider
Phone
(662) 260-4708

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X R867568 MS Primary

Addresses

Primary practice location

2625 Traceland Dr Ste a
Tupelo, MS 38801-4240

Mailing address

2625 Traceland Dr Ste a
Tupelo, MS 38801-4240
Phone (662) 260-4708

Other identifiers 1

IdentifierTypeStateIssuer
1174896245OtherMSNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160520001544 MS Part B Supplier - Clinic/Group Practice 9931498516 Receives reassigned benefits from 1 practitioner
Practice locations: Tupelo, MS

National Provider Directory

National Provider Directory
Tax ID family
Hooks2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2610 Traceland Dr
Ste A
Tupelo, MS 38801
Phone (662) 260-4708

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1841646148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 TRACELAND DR STE A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014240",
            "telephone_number": "662-260-4708",
            "fax_number": "662-260-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 TRACELAND DR STE A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014240",
            "telephone_number": "662-260-4708",
            "fax_number": "662-260-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOKS DIABETES & MEDICINE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "HOOKS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "662-260-4708",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MS",
            "license": "R867568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174896245",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.