NPIMap

Individual provider Active NPI

Pamela Denise Hardin, NP

  • Nurse Practitioner
  • Raleigh, MS
National Provider Identifier
1174902134
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R882719 Issued in MS
Practice address
342 Magnolia Dr
Raleigh, MS 39153-6012
Phone
(601) 782-5665
NPI assigned
May 23, 2015
Sex
Female
Sole proprietor
Yes

Organizations & group practices 10

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 5

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Healthcare Management Inc 32 clinicians

Practice addresses (Care Compare)

342 Magnolia Dr
Raleigh, MS 39153-6012
Phone (601) 782-5665

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Flowood, MS, CCN 257126
  • Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
  • S E Lackey Memorial Hospital Hospital, Forest, MS, CCN 251300
  • Smith County Emergency Hospital Hospital, Raleigh, MS, CCN 250786
  • Magee General Hospital Hospital, Magee, MS, CCN 250124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20160108000797 MS Practitioner - Nurse Practitioner 6709188642 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R882719MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Healthcare Management, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Independent Healthcare Management, Inc CurrentSince Aug 1, 2023 Accepting new patients
Independent Healthcare Management, Inc. PastSince Aug 1, 2023 Accepting new patients

Locations

330 N Broad St
#S
Forest, MS 39074
Phone (601) 469-4151

330 N Broad St
Forest, MS 39074
Phone (601) 469-4151

376 Simpson Highway 149
Ste 300
Magee, MS 39111
Phone (601) 721-8985

110 Pioneer Way
Magee, MS 39111

342 Magnolia Dr
Raleigh, MS 39153
Phone (601) 782-5665

342 Magnolia Dr
#35S
Raleigh, MS 39153
Phone (601) 782-5665

Interoperability endpoints

  • Direct secure messaging: pamela.hardin@phspch.eclinicaldirectplus.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R882719 MS Primary

Addresses

NPPES NPI Registry

Primary practice location

342 Magnolia Dr
Raleigh, MS 39153-6012

Mailing address

PO Box 23666
Jackson, MS 39225-3666
Phone (601) 200-4749

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 26, 2019.

{
    "created_epoch": "1432339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1174902134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23666",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392253666",
            "telephone_number": "601-200-4749",
            "fax_number": "601-200-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 MAGNOLIA DR",
            "city": "RALEIGH",
            "state": "MS",
            "postal_code": "391536012",
            "telephone_number": "601-782-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "PAMELA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-23",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R882719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, MS

Sources for this page

Verify at the official NPI Registry.