Lonnie M Hammonds Jr., M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

E-9180 Issued in AR

Practice address

2062 Highway 62 W
Mountain Home, AR 72653-7656

Phone

(870) 425-5464

Fax

(870) 425-5465

NPI assigned

Apr 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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 1

Specialty

Dermatology

Education

University of Texas Medical School at Houston, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mark S King, MD, PAGroup PAC ID 5294888780, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baxter Health Hospital, Mountain Home, AR, CCN 040027

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mark S King, MD, PA

  • Dermatology Physician
  • Mountain Home, AR
  • NPI 1619107398
  Medicare reassignment Care Compare group NPD
• Skin Surgery Specialists of Arkansas

  • Procedural Dermatology Physician
  • Little Rock, AR
  • NPI 1770921454
  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  Dermatology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baxter County Regional Hospital Inc

  • General Acute Care Hospital
  • Mountain Home, AR
  • NPI 1033147921
  Care Compare affiliation
• Baxter County Regional Hospital, Inc

  • General Acute Care Hospital
  • Mountain Home, AR
  • NPI 1881788933
  Care Compare affiliation

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1356464838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 763",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726540763",
            "telephone_number": "870-425-5464",
            "fax_number": "870-425-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2062 HIGHWAY 62 W",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726537656",
            "telephone_number": "870-425-5464",
            "fax_number": "870-425-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMONDS",
        "first_name": "LONNIE",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AR",
            "license": "E-9180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356464838",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Lionel Hambelton
• Renee Hambelton, MHPP
• Sally Kearstin Hambelton
• Ella Hammond, RN
• Heather Celest Hammonds, M.D.
• Victoria Michelle Hampton, ARNP
• Hailey Harden
• Erik E Hardin, L.AC.
• Susanna Hardman, MHPP
• Andrew Harkreader

• Dermatology Physician in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Dermatology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.