Individual provider Active NPI

David Elder Hamby, N.P

  • Gerontology Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1346673191
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
R873659 Issued in MS
Practice address
1225 N State St
Jackson, MS 39202-2064
Phone
(601) 968-1700
NPI assigned
Aug 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X R873659 MS Primary

Addresses

Primary practice location

1225 N State St
Jackson, MS 39202-2064

Mailing address

1225 N State St
Jackson, MS 39202-2064
Phone (601) 968-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140303001385 MS Practitioner - Nurse Practitioner 1456581982 Reassigns benefits to 3 organizations
I20221202002547 LA Practitioner - Nurse Practitioner 1456581982 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Physicians, LLP CurrentSince Aug 1, 2016 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty CurrentSince Jul 4, 2022 Accepting new patients
Jones Family Medicine Clinic PLLC CurrentSince Oct 1, 2021 Accepting new patients
Mississippi Physicians LLP Current Accepting new patients
Hancock Emergency Group LLC CurrentSince Sep 1, 2014 Accepting new patients
Children'S Hospital CurrentSince Feb 1, 2025 Accepting new patients
Children'S Hospital CurrentSince Feb 1, 2025 Accepting new patients
Trustcare Primary Care, LLC Past Accepting new patients

Locations

4545 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 896-9822

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

235 S 14th Ave
#Q
Laurel, MS 39440
Phone (601) 651-2830

30 Circle J Dr
Ste 1
Laurel, MS 39440
Phone (601) 425-0092

Organizations & group practices 8

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": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1346673191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022064",
            "telephone_number": "601-968-1700",
            "fax_number": "601-974-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022064",
            "telephone_number": "601-968-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBY",
        "first_name": "DAVID",
        "middle_name": "ELDER",
        "credential": "N.P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-15",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MS",
            "license": "R873659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.