Active NPI
Robert Joseph Hargis, M.D.
- Urology Physician
- Clinton, MS
National Provider Identifier
1396184149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 06058
- Practice address
- 116 Afton Way
Clinton, MS 39056 - Phone
- (850) 650-4877
- NPI assigned
- Jun 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 06058 | MS | Primary |
Addresses
Primary practice location
116 Afton Way
Clinton, MS 39056
Mailing address
249 Matties Way
Destin, FL 32541
Phone (850) 650-4877
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06058 | MS | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371168000000",
"number": "1396184149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 MATTIES WAY",
"city": "DESTIN",
"state": "FL",
"postal_code": "32541",
"telephone_number": "850-650-4877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 AFTON WAY",
"city": "CLINTON",
"state": "MS",
"postal_code": "39056",
"telephone_number": "850-650-4877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGIS",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-14",
"last_updated": "2013-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MS",
"license": "06058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.