Individual provider Active NPI

Stephen Dumas Hammond Jr., MD

  • Ophthalmology Physician
  • Jackson, TN
National Provider Identifier
1023123643
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD41319 Issued in TN
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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 9 clinicians

Practice addresses (Care Compare)

668 Skyline Dr
Jackson, TN 38301-3951
Phone (731) 426-8434

Hospital & facility affiliations

  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

Merit-based Incentive Payment System (MIPS)

Final score
92.16 of 100Reported as group
Quality
97.83
Improvement activities
40
Cost
76.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery953

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
MD41319TNMDOphthalmology Physician

Practice roles (3 of 6)

OrganizationSpecialtyStatusNew patients
Skyline Eye Clinic, PC Ophthalmology CurrentSince Jan 1, 2019 Accepting new patients
Advanced Cardiovascular & Vein Center PastSince Nov 23, 2009 Accepting new patients
Skyline Eye Clinic, PC PastSince Jan 1, 2019 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

  • FHIR API: https://app.meldrx.com/api/fhir/t5x2d7ew
  • FHIR API: https://api.platform.athenahealth.com/14790/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shammond@ecpc.intellechartdirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD41319 TN Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
3823196MedicaidTN

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

Verify at the official NPI Registry.