Individual provider Active NPI

Hampton Vernon, M.D.

  • Pediatrics Physician
  • Columbus, GA
National Provider Identifier
1417306622
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
82617 Issued in GA
Practice address
2000 10TH Ave Ste 400
Columbus, GA 31901-3713
Phone
(706) 660-2932
Fax
(706) 660-2935
NPI assigned
Jun 8, 2016
Last updated
Aug 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 82617 GA Primary

Addresses

Primary practice location

2000 10TH Ave Ste 400
Columbus, GA 31901-3713

Mailing address

1089 Mathis Ferry Rd
Mount Pleasant, SC 29464-2616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20161026000488 SC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9830477819

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82617GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vernon Pediatrics, P.C. Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hampton.vernon.1@23365.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23365/brand/1/csg/1/fhir/r4

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": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1417306622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 MATHIS FERRY RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294642616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 10TH AVE STE 400",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013713",
            "telephone_number": "706-660-2932",
            "fax_number": "706-660-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNON",
        "first_name": "HAMPTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-08",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "82617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.