Individual provider Active NPI

John O. Hurt Jr., M.D.

  • Psychiatry Physician
  • Galax, VA
National Provider Identifier
1104830363
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101016908 Issued in VA
Practice address
500 Glendale Rd
Galax, VA 24333-2208
Phone
(276) 236-0179
Fax
(276) 238-3561
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101016908 VA Primary

Addresses

Primary practice location

500 Glendale Rd
Galax, VA 24333-2208

Mailing address

PO Box 1337
Galax, VA 24333-1337
Phone (276) 236-3210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110809000163 VA Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 7214106210 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Regional Community Services Board CurrentSince Jan 14, 2017 Accepting new patients
East Mental Health Services LLC CurrentSince Jul 1, 2012 Accepting new patients
Twin County Family Care Centers Inc Past Accepting new patients
DLP Twin County Physician Practices LLC Past Accepting new patients
Horizon Behavioral Health Past Accepting new patients
Commonwealth of Virginia Catawba Hospital Past Accepting new patients

Locations

24 Clay St
Martinsville, VA 24112
Phone (276) 632-7128

3441 Brandon Ave SW
Ste 100
Roanoke, VA 24018
Phone (540) 777-3935

30 Technology Dr
Rocky Mount, VA 24151
Phone (540) 483-0582

22280 Jeb Stuart Hwy
Stuart, VA 24171
Phone (276) 632-7128

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1104830363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1337",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243331337",
            "telephone_number": "276-236-3210",
            "fax_number": "276-236-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GLENDALE RD",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332208",
            "telephone_number": "276-236-0179",
            "fax_number": "276-238-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURT",
        "first_name": "JOHN",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101016908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galax, VA

Sources for this page

Verify at the official NPI Registry.