Individual provider Active NPI

Pamela A Hughes

  • Family Nurse Practitioner
  • Brookhaven, MS
National Provider Identifier
1962263764
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902326 Issued in MS
Practice address
3434 Choctaw Rd NE
Brookhaven, MS 39601-3960
Phone
(601) 669-6446
NPI assigned
Jan 18, 2024
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902326 MS Primary

Addresses

Primary practice location

3434 Choctaw Rd NE
Brookhaven, MS 39601-3960

Mailing address

3434 Choctaw Rd NE
Brookhaven, MS 39601
Phone (601) 669-6446

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
I20240729003291 MS Practitioner - Nurse Practitioner 9032655816 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridging Community With Healthcare, LLCGroup PAC ID 9537380944, 12 clinicians
Maxem Health Urgent Care McCombGroup PAC ID 6305181959, 10 clinicians
Maxem Health Urgent Care FlowoodGroup PAC ID 9335429422, 9 clinicians
Copiah County Medical CenterGroup PAC ID 2062583487, 19 clinicians

Practice addresses (Care Compare)

1005 W Congress St
Brookhaven, MS 39601-2603
Phone (601) 833-9388

101 Edgewood Dr
McComb, MS 39648-2043
Phone (601) 324-3244

2605 Courthouse Cir
Flowood, MS 39232-9521
Phone (228) 223-1927

27190 Hwy 28
Hazlehurst, MS 39083-2224
Phone (601) 574-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902326MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridging Community With Healthcare, LLC CurrentSince Jul 1, 2024 Accepting new patients
Copiah County Medical Center CurrentSince Oct 1, 2024 Accepting new patients
Copiah County Medical Center CurrentSince Dec 1, 2024 Accepting new patients
Copiah County Medical Center CurrentSince Oct 1, 2024 Accepting new patients
Hardy Wilson Memorial Hospital Past Accepting new patients

Locations

1005 W Congress St
Brookhaven, MS 39601
Phone (601) 833-6333

1037 Highway 84 E
Brookhaven, MS 39601
Phone (601) 823-3221

213 Caldwell Dr
Hazlehurst, MS 39083
Phone (601) 892-2225

27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000

Interoperability endpoints

  • Direct secure messaging: pamela.hughes.1@29866.direct.athenahealth.com

Organizations & group practices 7

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.

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": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1962263764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 CHOCTAW RD NE",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "39601",
            "telephone_number": "601-669-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 CHOCTAW RD NE",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013960",
            "telephone_number": "601-669-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "PAMELA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, MS

Sources for this page

Verify at the official NPI Registry.