Individual provider

Ryan Averill

Sports Medicine (Emergency Medicine) Physician Medicare enrolled

Ryan Averill is a Sports Medicine (Emergency Medicine) Physician in Jackson, MS, registered under NPI 1376286021.

Getting there

The practice address on file is 1410 E WOODROW WILSON AVE, Jackson, MS 39216. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1410 E WOODROW WILSON AVE, Jackson, MS 39216 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
36950 MS Sports Medicine (Emergency Medicine)… primary

This provider holds licence 36950 issued in MS. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Emergency Medicine
PAC ID
8325529241
Enrollment ID
I20260227001691

Medicare enrolment is recorded as approved under the provider type Practitioner - Emergency Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Sports Medicine covers

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. NUCC Health Care Provider Taxonomy, code 207PS0010X
Allopathic & Osteopathic Physicians Emergency Medicine Sports Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1376286021 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 19, 2022
Last updatedJun 23, 2026
StatusActive
Sole proprietorNo
GenderMale
Practice address 1410 E WOODROW WILSON AVE
Jackson, MS 39216
(601) 984-5525
This record was updated on Jun 23, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1376286021 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 7 6 2 8 6 0 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 5 6 4 8 3 0 4

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1376286021?
NPI 1376286021 is the National Provider Identifier assigned to Ryan Averill in Jackson, MS. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Sports Medicine cover?
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…
How do I contact Ryan Averill?
The phone number on file with NPPES is (601) 984-5525, last updated Jun 23, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Ryan Averill accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1376286021 a valid number?
Yes. 1376286021 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.