Individual provider Active NPI

James R Hardin, M.D.

  • Urology Physician
  • Greenwood, MS
National Provider Identifier
1386636140
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
07014 Issued in MS
Practice address
205 8TH St
Greenwood, MS 38930-4011
Phone
(662) 453-6732
Fax
(662) 453-6734
NPI assigned
Aug 18, 2005
Last updated
Apr 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 07014 MS Primary

Addresses

Primary practice location

205 8TH St
Greenwood, MS 38930-4011

Mailing address

205 8TH St
Greenwood, MS 38930-4011
Phone (662) 453-6732

Other identifiers 2

IdentifierTypeStateIssuer
00017506MedicaidMS
04371729MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20101007000416 MS Practitioner - Urology 3375650542 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
07014MSMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oxford Urology Associates, PLLC Urology CurrentSince Apr 1, 2019 Accepting new patients

Locations

1201 Medical Park Dr
Oxford, MS 38655
Phone (622) 234-1448

2168 S Lamar Blvd
Oxford, MS 38655
Phone (662) 234-1448

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1386636140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 8TH ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304011",
            "telephone_number": "662-453-6732",
            "fax_number": "662-453-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 8TH ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304011",
            "telephone_number": "662-453-6732",
            "fax_number": "662-453-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MS",
            "license": "07014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00017506",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04371729",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

Verify at the official NPI Registry.