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DR. SAMUEL P, HOPPER M.D.
NPI 1265543623
Pediatrics in Jackson, MS

Active since August 31, 2006PECOS Enrolled
1867 CRANE RIDGE DR STE 101B, JACKSON, MS 39216(601) 362-8776(601) 354-8786 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Samuel P, Hopper M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL P, HOPPER M.D. (NPI 1265543623) is an individual pediatrics provider in Jackson, Mississippi, licensed in Alabama (13057) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265543623
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. SAMUEL P, HOPPERCredential: M.D.
Location Address1867 CRANE RIDGE DR STE 101BJackson, MS 39216-4956
Mailing Address703 Volker HlBirmingham, AL 35294-0001 · (205) 934-3795 · Fax (205) 975-8991
Phone(601) 362-8776
Fax(601) 354-8786
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 21, 2017
✔ NPI 1265543623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AL · 13057
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1867 CRANE RIDGE DR STE 101B, Jackson, MS 39216
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Other Identifiers 1

Medicaid0019066MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel P, Hopper M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Samuel Hopper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Alabama Health Services Foundation, PC
199 mi
Clinical Medical Laboratory
720 20TH ST S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1164617205 (205) 934-4983

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAUL B. WELCH M.D.
Pediatrics
1867 CRANE RIDGE DR STE 101B
JACKSON, MS 39216
Hinds County (601) 362-8776
DR. ERWYN E. FREEMAN JR. M.D.
Pediatrics
1867 CRANE RIDGE DR STE 101B
JACKSON, MS 39216
Hinds County (601) 362-8776
KRISTIE S. ROHMAN M.D.
Pediatrics
1867 CRANE RIDGE DR STE 101B
JACKSON, MS 39216
Hinds County (601) 362-8776
CHILDREN'S MEDICAL GROUP, P.A.
Pediatrics
1867 CRANE RIDGE DR STE 101B
JACKSON, MS 39216
Hinds County (601) 362-8776
DR. MELINDA S. RAY M.D.
Pediatrics
1867 CRANE RIDGE DR STE 101B
JACKSON, MS 39216
Hinds County (601) 362-8776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Hopper's NPI number?

The NPI number for Samuel Hopper is 1265543623. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Samuel Hopper located?

Samuel Hopper practices at 1867 Crane Ridge Dr Ste 101B, Jackson, MS 39216. The listed phone number is (601) 362-8776.

What is Samuel Hopper's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Samuel Hopper enrolled in Medicare?

Yes. Samuel Hopper is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Hopper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Hopper reassigns Medicare benefits to University Of Alabama Health Services Foundation, PC (Birmingham, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Hopper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Hopper accept?

Health plans from Blue Cross and Blue Shield of Alabama list Samuel Hopper as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Hopper was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.