PETER HAMILTON LIDDELL
NPI 1639922065
Otolaryngology in Jackson, MS

Active since April 08, 2024PECOS Enrolled
2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2024, Apr 8, 2024 (2 updates tracked since 2024).

About Peter Hamilton Liddell NPPES

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

PETER HAMILTON LIDDELL (NPI 1639922065) is an individual otolaryngology provider in Jackson, Mississippi, licensed in Mississippi (T-5510) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639922065
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NamePETER HAMILTON LIDDELL
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address1405 Roxbury PlJackson, MS 39211-6345 · (601) 940-6398
Sole ProprietorNo
Enumeration DateApril 8, 2024
Last NPPES UpdateJuly 5, 20242 updates tracked since enumeration
NPPES CertifiedJuly 5, 2024
NPI 1639922065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in MS · T-5510
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2500 N STATE ST, Jackson, MS 39216

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Peter Hamilton Liddell 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.

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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
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 20

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

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
2500 N STATE ST
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 Peter Liddell's NPI number?

The NPI number for Peter Liddell is 1639922065. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Peter Liddell located?

Peter Liddell practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-1000.

What is Peter Liddell's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Peter Liddell enrolled in Medicare?

Yes. Peter Liddell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Liddell was last updated on July 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.