Individual provider Active NPI

Brenda Peyton Hines, M.D.

  • Sleep Disorder Diagnostic Clinic/Center
  • Flowood, MS
National Provider Identifier
1932296589
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
10284 Issued in MS
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
05723715MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000569 MS Practitioner - Sleep MedicinePractitioner - Psychiatry 2769455401 Receives reassigned benefits from 1 practitioner
Practice locations: Flowood, MS

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10284MSMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Region VI Community Mental Health Commission Multi-Specialty PastSince Feb 1, 2012 Accepting new patients
Brenda P Hines MD PLLC PastSince Jan 1, 1990 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.

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.

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.

Verify at the official NPI Registry.