Active NPI
Omelia Elizabeth Danford, MD
- Family Medicine Physician
- Hattiesburg, MS
National Provider Identifier
1205844560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16861
- Practice address
- 82 Saint Annes Dr
Hattiesburg, MS 39401-8253 - Phone
- (601) 342-1411
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16861 | MS | Primary |
Addresses
Primary practice location
82 Saint Annes Dr
Hattiesburg, MS 39401-8253
Mailing address
82 Saint Annes Dr
Hattiesburg, MS 39401-8253
Phone (601) 342-1411
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1559186 | Other | MS | AMERICAN ADMIN GROUP |
| 00122376 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ddanford2439@directpatientrecord.com | Health Information Exchange (HIE) |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16861 | MS | MD | Family Medicine Physician |
Interoperability endpoints
- ddanford2439@directpatientrecord.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1205844560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 SAINT ANNES DR",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394018253",
"telephone_number": "601-342-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 SAINT ANNES DR",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394018253",
"telephone_number": "601-342-1411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANFORD",
"first_name": "OMELIA",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "16861",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ADMIN GROUP",
"identifier": "1559186",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00122376",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ddanford2439@directpatientrecord.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "822 Main St",
"city": "Ellisville",
"state": "MS",
"country_code": "US",
"postal_code": "394372425",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.