Individual provider Active NPI

Eniola O Otuseso, MD

  • Internal Medicine Physician
  • Meridian, MS
National Provider Identifier
1962451757
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18694 Issued in MS
Practice address
Anderson Regional Medical Center
2124 14TH Street
Meridian, MS 39301
Phone
(678) 701-8267
NPI assigned
May 9, 2006
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18694 MS Primary
Internal Medicine Physician 207R00000X 55269 GA
Internal Medicine Physician 207R00000X 0026308 AL
Hospitalist Physician 208M00000X 18694 MS

Addresses

Primary practice location

Anderson Regional Medical Center
2124 14TH Street
Meridian, MS 39301

Mailing address

PO Box 250385
Atlanta, GA 30325-1385
Phone (706) 267-4999

Other practice location 1

2124 14th St
Meridian, MS 39301-4040
Phone (601) 553-6000

Other practice location 2

3400 Highway 78 E
Jasper, AL 35501-8956
Phone (205) 387-4401

Other practice location 3

1102 Constitution Ave
Meridian, MS 39301-4001
Phone (601) 703-5000

Other practice location 4

415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone (601) 288-4329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041216000662 MS Practitioner - HospitalistPractitioner - Internal Medicine 6608836952 Reassigns benefits to 8 organizations
I20160301001853 GA Practitioner - Internal Medicine 6608836952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Medical College of Georgia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Services of Meridian PAGroup PAC ID 3274818042, 41 clinicians
Dumont Physician Services LLCGroup PAC ID 6800385576, 44 clinicians
Hattiesburg Clinic PAGroup PAC ID 5193706794, 525 clinicians

Practice addresses (Care Compare)

2124 14TH St
Meridian, MS 39301-4040
Phone (601) 553-6000

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0026308ALMDInternal Medicine Physician
55269GAMDInternal Medicine Physician
18694MSMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Jackson Heart Cardiology Clinic-Kosciusko CurrentSince Dec 15, 2014 Accepting new patients
Medical Foundation of Central Ms CurrentSince Dec 15, 2014 Accepting new patients
Mississippi Baptist Medical Center, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Mississippi Baptist Medical Center, Inc. Current Accepting new patients
Comprehensive Hospitalists of Ms, LLC Hospitalist Current Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Jun 7, 2018 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Comprehensive Hospitalists of Ms, LLC Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Comprehensive Hospitalists of Ms, LLC Hospitalist CurrentSince Sep 1, 2015 Accepting new patients
Hattiesburg Clinic PA CurrentSince Feb 23, 2026 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Jul 1, 2023 Accepting new patients
Anderson Physician Alliance, Inc. Internal Medicine CurrentSince Apr 25, 2025 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Jun 7, 2018 Accepting new patients
Urology Clinic of Meridian, P.a. Current Accepting new patients
Hattiesburg Clinic, PA CurrentSince Feb 23, 2026 Accepting new patients
Mississippi Baptist Medical Center, Inc Hospitalist CurrentSince Jun 1, 2016 Accepting new patients
Dumont Physician Services LLC Internal Medicine CurrentSince Dec 2, 2025 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
Medical Foundation of Central Mississippi, Inc. Internal Medicine Current Accepting new patients
Anderson Regional Medical Center Past Accepting new patients
Cogent Healthcare of Jackson Ms, LLC Internal Medicine Past Accepting new patients

Locations

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-1072

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

1740 Lions Club Rd
Madison, GA 30650
Phone (706) 342-1667

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

1970 Hospital Dr
Clarksdale, MS 38614
Phone (662) 624-3185

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

1102 Constitution Ave
Meridian, MS 39301
Phone (601) 693-2511

1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

Interoperability endpoints

  • Direct secure messaging: eotuseso2895864@direct.trinity-health.org

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 3

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1962451757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250385",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303251385",
            "telephone_number": "706-267-4999",
            "fax_number": "678-397-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANDERSON REGIONAL MEDICAL CENTER",
            "address_2": "2124 14TH STREET",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39301",
            "telephone_number": "678-701-8267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2124 14th St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014040",
            "country_code": "US",
            "telephone_number": "601-553-6000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Highway 78 E",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "AL",
            "postal_code": "355018956",
            "country_code": "US",
            "telephone_number": "205-387-4401",
            "fax_number": "205-387-4717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 Constitution Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014001",
            "country_code": "US",
            "telephone_number": "601-703-5000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 S 28th Ave",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394017246",
            "country_code": "US",
            "telephone_number": "601-288-4329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTUSESO",
        "first_name": "ENIOLA",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "18694",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "55269",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "0026308",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MS",
            "license": "18694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.