RYAN AVERILL
NPI 1376286021
Emergency Medicine - Sports Medicine in Jackson, MS
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, is affiliated with University Of Mississippi Med Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Mississippi Med Center
Acute Care Hospitals · Jackson, MSPhysician 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.
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.
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
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.
Is Ryan Averill affiliated with any hospitals?
According to CMS data, Ryan Averill is affiliated with University Of Mississippi Med Center.
When was this NPI record last updated?
The NPPES record for Ryan Averill was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Ryan Averill · NPI 1376286021
Sports Medicine physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since April 19, 2022.
## Identity
- **NPI:** 1376286021 (Entity type: Individual)
- **Enumerated:** April 19, 2022
- **Primary specialty:** Emergency Medicine - Sports Medicine · taxonomy 207PS0010X
- **State license:** 36950 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1410 E WOODROW WILSON AVE, Jackson, MS 39216-5114
- **Phone:** (601) 984-5525
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1376286021) · Data from the CMS NPPES public registry.