Active NPI
Brenda Peyton Hines, M.D.
- Sleep Disorder Diagnostic Clinic/Center
- Flowood, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- License
- 10284
- Practice address
- 1001 Treetops Blvd
Flowood, MS 39232-7606 - Phone
- (601) 939-1808
- Fax
- (601) 939-3828
- NPI assigned
- Oct 6, 2006
- Last updated
- Sep 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 10284 | MS | |
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | 10284 | MS | Primary |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 10284 | MS |
Addresses
Primary practice location
1001 Treetops Blvd
Flowood, MS 39232-7606
Mailing address
1001 Treetops Blvd
Flowood, MS 39232-7606
Phone (601) 939-1808
Other practice location 1
1006 Treetops Blvd
Flowood, MS 39232-7645
Phone (601) 939-1808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05723715 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10284 | MS | MD | Sleep Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region VI Community Mental Health Commission | Multi-Specialty | Past | Accepting new patients |
| Brenda P Hines MD PLLC | Past | Accepting new patients | |
| Garden Park | Past | Accepting new patients |
Practitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Brandon, MS
- NPI 1013695659
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sleep Associates
- Sleep Medicine (Family Medicine) Physician
- Flowood, MS
- NPI 1295182426
-
dba Region VI Mental Health/Mental Retardation Commission
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greenwood, MS
- NPI 1932437209
-
dba Life Help
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greenwood, MS
- NPI 1154433233
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1932296589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 TREETOPS BLVD",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392327606",
"telephone_number": "601-939-1808",
"fax_number": "601-939-3828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 TREETOPS BLVD",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392327606",
"telephone_number": "601-939-1808",
"fax_number": "601-939-3828"
}
],
"practiceLocations": [
{
"address_1": "1006 Treetops Blvd",
"address_purpose": "LOCATION",
"city": "Flowood",
"state": "MS",
"postal_code": "392327645",
"country_code": "US",
"telephone_number": "601-939-1808",
"fax_number": "601-939-3828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HINES",
"first_name": "BRENDA",
"middle_name": "PEYTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "MS",
"license": "10284",
"primary": false
},
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": "MS",
"license": "10284",
"primary": true
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "MS",
"license": "10284",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05723715",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.