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RYAN AVERILL
NPI 1376286021
Emergency Medicine - Sports Medicine in Jackson, MS

Active since April 19, 2022PECOS EnrolledAccepts Medicare Assignment
1410 E WOODROW WILSON AVE, JACKSON, MS 39216(601) 984-5525 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ryan Averill NPPES

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

RYAN AVERILL (NPI 1376286021) is an individual sports medicine provider in Jackson, Mississippi, licensed in Mississippi (36950) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1376286021
Entity TypeIndividualMale
Primary Taxonomy207PS0010X
Provider Legal NameRYAN AVERILL
Location Address1410 E WOODROW WILSON AVEJackson, MS 39216-5114
Mailing Address1410 E Woodrow Wilson AveJackson, MS 39216-5114
Phone(601) 984-5525
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 19, 2022
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1376286021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PS0010X
License✔ Licensed in MS · 36950
Definition

An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.

1410 E WOODROW WILSON AVE, Jackson, MS 39216
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ryan Averill is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325529241
PECOS Enrollment IDI20260227001691
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.

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 10

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

UNIVERSITY PHYSICIANS
Internal Medicine
1410 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 815-4775
PROF. WILLIAM BENNETT GEISSLER M.D.
Orthopaedic Surgery (Hand Surgery)
1410 E WOODROW WILSON AVE, STE D
JACKSON, MS 39216
Hinds County (601) 984-5144
DR. LAWRENCE LEE HABER M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
1410 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 984-6525
UNIVERSITY ORTHOPAEDIC ASSOCIATES
Orthopaedic Surgery (Orthopaedic Trauma)
1410 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 984-6525
UNIVERSITY FAMILY MEDICINE ASSOCIATES, PLLC
Clinic/Center
1410 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 984-5404
MS. MEMORY M LOFTON FNP
Nurse Practitioner
1410 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 984-6525
MRS. ERIN MACKENZIE COOK A-GNP-C
Nurse Practitioner
1410 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 984-5700
DR. JAMES L HUGHES JR. M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1410 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 984-6525

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 Ryan Averill's NPI number?

The NPI number for Ryan Averill is 1376286021. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Ryan Averill located?

Ryan Averill practices at 1410 E Woodrow Wilson Ave, Jackson, MS 39216. The listed phone number is (601) 984-5525.

What is Ryan Averill's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Sports Medicine, with taxonomy code 207PS0010X.

Is Ryan Averill enrolled in Medicare?

Yes. Ryan Averill is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ryan Averill was last updated on June 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.