Active NPI
Anointed Nephrology & HTN PLLC
- Specialist
- Brookhaven, MS
National Provider Identifier
1447563499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 18365
- Legal business name
- ANOINTED NEPHROLOGY & HTN PLLC
- Practice address
- 747 Industrial Park Rd NE
Brookhaven, MS 39601-2065 - Phone
- (601) 833-4111
- Fax
- (601) 833-1444
- NPI assigned
- Jul 20, 2010
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- James Hall, MD
- Title
- Owner/Physician
- Phone
- (601) 320-3922
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2025141 | Anointed Nephrology & HTN, PLLC | Certificate of waiver | Jun 1, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101123000354 | MS | Part B Supplier - Clinic/Group Practice | 7416143987 |
Receives reassigned benefits from 2 practitioners Practice locations: Brookhaven, MS |
National Provider Directory
National Provider DirectoryLocations
800 3rd St
Ste B
Kentwood, LA 70444
Phone (985) 229-8738
Interoperability endpoints
- https://api.platform.athenahealth.com/23402/brand/1/csg/1/fhir/r4
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 18365 | MS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
747 Industrial Park Rd NE
Brookhaven, MS 39601-2065
Mailing address
747 Industrial Park Rd NE
Brookhaven, MS 39601-2065
Phone (601) 833-4111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2016.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475625600000",
"number": "1447563499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 INDUSTRIAL PARK RD NE",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396012065",
"telephone_number": "601-833-4111",
"fax_number": "601-833-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 INDUSTRIAL PARK RD NE",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396012065",
"telephone_number": "601-833-4111",
"fax_number": "601-833-1444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANOINTED NEPHROLOGY & HTN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-20",
"last_updated": "2016-10-05",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "601-320-3922",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MS",
"license": "18365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.