Individual provider Active NPI

Hannah Pittman, NP-C

  • Family Nurse Practitioner
  • Eupora, MS
National Provider Identifier
1063812220
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R885355 Issued in MS
Practice address
1700 Veterans Memorial Blvd
Eupora, MS 39744-2023
Phone
(662) 258-7533
NPI assigned
Aug 25, 2014
Last updated
Aug 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R885355 MS Primary

Addresses

Primary practice location

1700 Veterans Memorial Blvd
Eupora, MS 39744-2023

Mailing address

1700 Veterans Memorial Blvd
Eupora, MS 39744-2023
Phone (662) 258-7533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141124000541 MS Practitioner - Nurse Practitioner 5193047439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

521 S Montgomery St
Suite 3
Starkville, MS 39759-3337
Phone (662) 767-4200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R885355MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oktibbeha County Hospital Current Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC CurrentSince Dec 30, 2024 Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC CurrentSince Dec 30, 2024 Accepting new patients

Locations

118 Highway 12 W
Starkville, MS 39759
Phone (662) 324-8070

521 S Montgomery St
#3
Starkville, MS 39759
Phone (662) 546-4400

1211 S Gloster St
Ste A
Tupelo, MS 38801
Phone (662) 377-3380

Interoperability endpoints

  • Direct secure messaging: hannahpittman@och.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1063812220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 VETERANS MEMORIAL BLVD",
            "city": "EUPORA",
            "state": "MS",
            "postal_code": "397442023",
            "telephone_number": "662-258-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 VETERANS MEMORIAL BLVD",
            "city": "EUPORA",
            "state": "MS",
            "postal_code": "397442023",
            "telephone_number": "662-258-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "HANNAH",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R885355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eupora, MS

Sources for this page

Verify at the official NPI Registry.