Individual provider Active NPI

Jeffrey C Houin, MD

  • Dermatology Physician
  • Tupelo, MS
National Provider Identifier
1972537355
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
14755 Issued in MS
Practice address
516 Pegram Dr
Tupelo, MS 38801-6347
Phone
(662) 844-6272
Fax
(662) 844-1603
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 14755 MS Primary

Addresses

Primary practice location

516 Pegram Dr
Tupelo, MS 38801-6347

Mailing address

516 Pegram Dr
Tupelo, MS 38801
Phone (662) 844-6272

Other identifiers 1

IdentifierTypeStateIssuer
00116659MedicaidMS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090714000595 MS Practitioner - Dermatology 3274684733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Center of North Ms PAGroup PAC ID 7416006986, 7 clinicians

Practice addresses (Care Compare)

340 Court St
Tupelo, MS 38804-3910
Phone 66284462721005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.13 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
57.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision334
Removal of skin lesions2654
Removal or shaving of skin growth1-10
Skin biopsy155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14755MSMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Center of North Ms PA Dermatology CurrentSince Jun 14, 1996 Accepting new patients

Locations

340 Court St
Tupelo, MS 38804
Phone (662) 844-6272

516 Pegram Dr
Tupelo, MS 38801
Phone (662) 844-6272

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1972537355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 PEGRAM DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38801",
            "telephone_number": "662-844-6272",
            "fax_number": "662-844-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 PEGRAM DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016347",
            "telephone_number": "662-844-6272",
            "fax_number": "662-844-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUIN",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MS",
            "license": "14755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116659",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.