Active NPI
Robert R Herrington III, MD
- Family Medicine Physician
- Columbia, MS
National Provider Identifier
1366455545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 07668
- Practice address
- 502 Broad St
Columbia, MS 39429-3037 - Phone
- (601) 736-8282
- Fax
- (601) 736-8533
- NPI assigned
- Aug 15, 2006
- Last updated
- Aug 23, 2016
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 07668 | MS | Primary |
Addresses
Primary practice location
502 Broad St
Columbia, MS 39429-3037
Mailing address
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 736-8282
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64050757237 | Other | MS | AMERICAN ADMIN GROUP |
| 080021125 | Other | RAILROAD MEDICARE | |
| 1432915 | Other | MS | UNITED HEALTHCARE |
| 00015363 | Medicaid | MS | |
| 1419737 | Medicaid | LA |
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 |
|---|---|---|---|
| 07668 | MS | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471910400000",
"number": "1366455545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 S 28TH AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017246",
"telephone_number": "601-736-8282",
"fax_number": "601-579-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 BROAD ST",
"city": "COLUMBIA",
"state": "MS",
"postal_code": "394293037",
"telephone_number": "601-736-8282",
"fax_number": "601-736-8533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRINGTON",
"first_name": "ROBERT",
"middle_name": "R",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2016-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "07668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ADMIN GROUP",
"identifier": "64050757237",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080021125",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1432915",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00015363",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1419737",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MS
- Hattiesburg Clinic PA (Columbia Family Clinic)
- Hattiesburg Clinic, PA (Gastroenterology - Columbia)
- Hattiesburg Clinic, PA (Podiatry - Columbia)
- Hattiesburg Clinic, PA (Columbia Dialysis Unit)
- Hattiesburg Eye Clinic, PA
- Darren D. Higgs, RPH.
- Amanda Holmes, PCMHT
- Kevin H Holmes, M.D.
- Home Sweet Home Diagnostic
- Crystal A Hood, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.