Active NPI
Henry M Jarmon, MD
- Surgery Physician
- Vicksburg, MS
National Provider Identifier
1326074477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 08364
- Practice address
- 2100 Highway 61 N
Vicksburg, MS 39183-8211 - Phone
- (601) 883-5000
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 08364 | MS | Primary |
Addresses
Primary practice location
2100 Highway 61 N
Vicksburg, MS 39183-8211
Mailing address
2100 Highway 61 N
Vicksburg, MS 39183-8211
Phone (601) 883-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00114125 | Medicaid | MS | |
| 4307809 | Other | MS | AETNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | henry.jarmon.1@1475.direct.athenahealth.com |
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 |
|---|---|---|---|
| 08364 | MS | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vicksburg Clinic LLC | Surgery | Past | Accepting new patients |
Organizations & group practices 1
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": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1326074477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 HIGHWAY 61 N",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391838211",
"telephone_number": "601-883-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 HIGHWAY 61 N",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391838211",
"telephone_number": "601-883-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARMON",
"first_name": "HENRY",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MS",
"license": "08364",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00114125",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4307809",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "henry.jarmon.1@1475.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "2100 Highway 61 N",
"city": "Vicksburg",
"state": "MS",
"country_code": "US",
"postal_code": "391838211",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.