Jacqueline L Hampton, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

27307 Issued in TN

Practice address

5131 Quince Rd Ste 3D
Memphis, TN 38117-6846

Phone

(901) 701-1888

Fax

(901) 701-1136

NPI assigned

Jul 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nwmjhampt@yourcarecommunity.org
• Direct secure messaging: jacqueline.hampton.2@4695.direct.athenahealth.com

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.

• Dedicated Physicians Group of Tennessee, PLLC

  • Non-Pharmacy Dispensing Site
  • Miami, FL
  • NPI 1174144695

  TN

  Medicare reassignment NPD
• Delta Health System

  • Internal Medicine Physician
  • Clarksdale, MS
  • NPI 1609464619
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1356367452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 QUINCE RD STE 3D",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381176846",
            "telephone_number": "901-701-1888",
            "fax_number": "901-701-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 QUINCE RD STE 3D",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381176846",
            "telephone_number": "901-701-1888",
            "fax_number": "901-701-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "JACQUELINE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "15315",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "27307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "730-19442",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118244",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacqueline.hampton.2@4695.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "785 Ohio Ave",
            "address_2": "Suite 3D",
            "city": "Clarksdale",
            "state": "MS",
            "country_code": "US",
            "postal_code": "38614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Douglas Alan Hammond, MD
• Mark L Hammond, M.D.
• Sarah Anne Hammond, P.A.-C.
• William Mason Hammond, MD
• Brittnee' Hampton, TRICHOLOGIST
• Jenisha Nikita Hampton, OWNER
• Kathryn Hampton, CRNA
• Krissie Hampton, FNP-C
• Leonard Earl Hampton, O.D.
• Marissa Fay Hampton, RBT

• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.

Verify at the official NPI Registry.