Active NPI
Stephen Dumas Hammond Jr., MD
- Ophthalmology Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD41319
- Practice address
- 668 Skyline Dr
Jackson, TN 38301-3951 - Phone
- (731) 424-2414
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Jackson, TN
- NPI 1164759189
-
- Optometrist
- Selmer, TN
- NPI 1114179587
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Tennessee, HSC, College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Skyline Eye Clinic, PC
Practice addresses (Care Compare)
668 Skyline Dr
Jackson, TN 38301-3951
Phone (731) 426-8434
Hospital & facility affiliations
- Jackson-Madison County General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.16 of 100
- Quality
- 97.83
- Improvement activities
- 40
- Cost
- 76.76
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 953 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061109000243 | TN | Practitioner - Ophthalmology | 5890792683 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD41319 | TN | MD | Ophthalmology Physician |
Practice roles (3 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skyline Eye Clinic, PC | Ophthalmology | Current | Accepting new patients |
| Advanced Cardiovascular & Vein Center | Past | Accepting new patients | |
| Skyline Eye Clinic, PC | Past | Accepting new patients |
Locations
138 S Washington Ave
Henderson, TN 38340
Phone (731) 989-3511
668 Skyline Dr
Jackson, TN 38301
Phone (731) 424-1414
1340 Union University Dr
Jackson, TN 38305
Phone (731) 215-1281
138 Houston Ave
Selmer, TN 38375
Phone (731) 645-7255
Networks
- MS PPO
- MS PPO D-SNP
- MS PPO C-SNP
Interoperability endpoints
- https://app.meldrx.com/api/fhir/t5x2d7ew
- https://api.platform.athenahealth.com/14790/brand/1/csg/1/fhir/r4
- shammond@ecpc.intellechartdirect.net
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD41319 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
668 Skyline Dr
Jackson, TN 38301-3951
Mailing address
PO Box 400
Jackson, TN 38302-0400
Phone (731) 423-8697
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3823196 | Medicaid | TN |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2022.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1023123643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "JACKSON",
"state": "TN",
"postal_code": "383020400",
"telephone_number": "731-423-8697",
"fax_number": "731-422-5743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "668 SKYLINE DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013951",
"telephone_number": "731-424-2414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOND",
"first_name": "STEPHEN",
"middle_name": "DUMAS",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TN",
"license": "MD41319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3823196",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.