Ryan Averill
Ryan Averill is an Emergency Medicine in Jackson, Mississippi. Qualified in 2021, 5 years ago. Practices with Modern Physician Services PC, a 53-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 5
- Licensed in
- MS
- In the registry since
- 2022
Practice location Address checks out
1410 E Woodrow Wilson AveJackson, MS 39216-5114
Phone: (601) 984-5525
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Emergency Medicine) Physician (primary) | Taxonomy 207PS0010X · Licence 36950 (MS) |
|---|
Record details
| NPI number | 1376286021 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 19, 2022 |
| Last updated in NPPES | June 23, 2026 |
| Certification date | June 23, 2026 |
Medicare enrollment
| Medicare specialty | EMERGENCY MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Modern Physician Services Pc — 53 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |