Active NPI
Joshua Hunter Aultman
- Ophthalmology Physician
- Vicksburg, MS
National Provider Identifier
1386389583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 33693
- Practice address
- 1206 Mission 66
Vicksburg, MS 39183-3137 - Phone
- (601) 638-2081
- NPI assigned
- May 2, 2022
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 33693 | MS | Primary |
Addresses
Primary practice location
1206 Mission 66
Vicksburg, MS 39183-3137
Mailing address
109 Millsaps Dr
Hattiesburg, MS 39402-1587
Phone (601) 255-0736
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EpicEHR | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1386389583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 MILLSAPS DR",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021587",
"telephone_number": "601-255-0736",
"fax_number": "601-255-0735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 MISSION 66",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391833137",
"telephone_number": "601-638-2081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AULTMAN",
"first_name": "JOSHUA",
"middle_name": "HUNTER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-02",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MS",
"license": "33693",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EpicEHR",
"affiliation": "N",
"endpointDescription": "UMMC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2500 N State St",
"city": "Jackson",
"state": "MS",
"country_code": "US",
"postal_code": "392164500",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.