Active NPI
David Elder Hamby, N.P
- Gerontology Nurse Practitioner
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- R873659
- 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
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 |
|---|---|---|---|---|
| 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, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Physicians, LLP | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty | Current | Accepting new patients | |
| Jones Family Medicine Clinic PLLC | Current | Accepting new patients | |
| Mississippi Physicians LLP | Current | Accepting new patients | |
| Hancock Emergency Group LLC | Current | Accepting new patients | |
| Children'S Hospital | Current | Accepting new patients | |
| Children'S Hospital | Current | 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.
-
- Emergency Medicine Physician
- Bay St Louis, MS
- NPI 1295142396
-
- Primary Care Clinic/Center
- Laurel, MS
- NPI 1841385168
-
- Emergency Medicine Physician
- Corinth, MS
- NPI 1902174832
-
- Specialist
- New Orleans, LA
- NPI 1043230873
-
- Emergency Medicine Physician
- New Orleans, LA
- NPI 1275984973
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1982011714
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Orleans, LA
- NPI 1568597649
-
- Family Medicine Physician
- Madison, MS
- NPI 1174078554
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.