NPIMap

Individual provider Active NPI

Jeffrey Lee Harden, MD

  • Emergency Medicine Physician
  • Greenwood, MS
National Provider Identifier
1386728152
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
11731 Issued in MS
Practice address
1401 River Rd
Greenwood, MS 38930-4030
Phone
(662) 459-2613
Fax
(662) 459-1159
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 11731 MS
Emergency Medicine Physician 207P00000X 11731 MS Primary

Addresses

Primary practice location

1401 River Rd
Greenwood, MS 38930-4030

Mailing address

PO Box 1410
Greenwood, MS 38935-1410
Phone (662) 459-2613

Other identifiers 1

IdentifierTypeStateIssuer
00015626MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111219000338 MS Practitioner - Emergency Medicine 3678748795 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Mississippi School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenwood Leflore Hospital 16 clinicians

Practice addresses (Care Compare)

1401 River Rd
Greenwood, MS 38930-4030
Phone (662) 459-2603

Hospital & facility affiliations

  • Greenwood Leflore Hospital Hospital, Greenwood, MS, CCN 250099
  • University of Mississippi Medical Center- Grenada Hospital, Grenada, MS, CCN 250168
  • University of Mississippi Med Center Hospital, Jackson, MS, CCN 250001

Merit-based Incentive Payment System (MIPS)

Final score
68.13 of 100Reported as group
Quality
36.48
Improvement activities
40
Cost
76.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grenada Emergency Group, LLC Emergency Medicine CurrentSince Nov 15, 2022 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Central Mississippi Radiology Current Accepting new patients
Coffee County Physician Group PC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Apr 18, 1989 Accepting new patients
Sunder Jagwani MD PA Current Accepting new patients

Locations

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155

1401 River Rd
Greenwood, MS 38930
Phone (662) 459-2603

1601 Strong Ave
Greenwood, MS 38930
Phone (662) 451-7565

960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

340 Getwell St
Marks, MS 38646
Phone (662) 326-8031

409 Tyler Holmes Dr
Winona, MS 38967
Phone (662) 283-3060

Interoperability endpoints

  • Direct secure messaging: jharden17698@ummc.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1386728152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1410",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389351410",
            "telephone_number": "662-459-2613",
            "fax_number": "662-459-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 RIVER RD",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304030",
            "telephone_number": "662-459-2613",
            "fax_number": "662-459-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEN",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MS",
            "license": "11731",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "11731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00015626",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

Verify at the official NPI Registry.