Individual provider Active NPI

Natasha N Hardeman, M.D.

  • Gynecology Physician
  • Flowood, MS
National Provider Identifier
1104869148
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
18064 Issued in MS
Practice address
2506 Lakeland Dr Ste 600
Flowood, MS 39232-7640
Phone
(601) 939-1600
Fax
(601) 939-1606
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 18064 MS Primary

Addresses

Primary practice location

2506 Lakeland Dr Ste 600
Flowood, MS 39232-7640

Mailing address

2506 Lakeland Dr Ste 600
Flowood, MS 39232-7640
Phone (601) 939-1600

Other identifiers 1

IdentifierTypeStateIssuer
07926573MedicaidMS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040128000093 MS Practitioner - Obstetrics/Gynecology 6406759505 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Mississippi School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Women'S Health, PLLC 40 clinicians
Lakeland Premier Women'S Clinic PLLC 3 clinicians

Practice addresses (Care Compare)

2506 Lakeland Dr
Suite 600
Flowood, MS 39232-7640
Phone (601) 939-1600

Hospital & facility affiliations

  • Merit Health Women'S Hospital Hospital, Flowood, MS, CCN 250136
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18064MSMDGynecology Physician

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
Southern Women'S Health, PLLC CurrentSince Oct 2, 2023 Accepting new patients
Southern Women'S Health, PLLC CurrentSince Oct 2, 2023 Accepting new patients
Oxford Clinic for Women, PLLC Current Accepting new patients
Memphis Pathology Laboratory Current Accepting new patients
Georgia Department of Human Resources Past Accepting new patients
River Oaks Hospital LLC Past Accepting new patients

Locations

2506 Lakeland Dr
Ste 600
Flowood, MS 39232
Phone (601) 420-0141

1020 River Oaks Dr
Ste 320
Jackson, MS 39232
Phone (601) 932-2664

2610 S Lamar Blvd
Oxford, MS 38655
Phone (601) 932-5006

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: office@lpwc.directbygreenway.com
  • Direct secure messaging: natasha.hardeman.1@28954.direct.athenahealth.com

Organizations & group practices 9

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 2

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1104869148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 LAKELAND DR STE 600",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327640",
            "telephone_number": "601-939-1600",
            "fax_number": "601-939-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 LAKELAND DR STE 600",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327640",
            "telephone_number": "601-939-1600",
            "fax_number": "601-939-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEMAN",
        "first_name": "NATASHA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MS",
            "license": "18064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07926573",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.