Active NPI
Rushton Overby, HIS
- Hearing Instrument Specialist
- Jackson, MS
National Provider Identifier
1063059988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA0633
- Practice address
- 1625 E County Line Rd Ste 520
Jackson, MS 39211-1833 - Phone
- (601) 991-9661
- Fax
- (601) 991-1916
- NPI assigned
- Dec 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HA0633 | MS | Primary |
| Hearing Instrument Specialist | 237700000X | 1290 | LA |
Addresses
Primary practice location
1625 E County Line Rd Ste 520
Jackson, MS 39211-1833
Mailing address
5750 Johnston St Ste 502
Lafayette, LA 70503-5334
Phone (337) 294-8081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1290 | LA | MD | Hearing Instrument Specialist |
| HA0633 | MS | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1063059988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 JOHNSTON ST STE 502",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705035334",
"telephone_number": "337-294-8081",
"fax_number": "337-335-0015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 E COUNTY LINE RD STE 520",
"city": "JACKSON",
"state": "MS",
"postal_code": "392111833",
"telephone_number": "601-991-9661",
"fax_number": "601-991-1916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERBY",
"first_name": "RUSHTON",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-10",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MS",
"license": "HA0633",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "LA",
"license": "1290",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.