Organization Active NPI

Anointed Nephrology & HTN PLLC

  • Specialist
  • Brookhaven, MS
National Provider Identifier
1447563499
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18365 Issued in MS
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, MDNPI 1871518597
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2025141Anointed Nephrology & HTN, PLLC747 Industrial Park Road, Brookhaven, MS 39601Certificate of waiverJun 1, 2027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101123000354 MS Part B Supplier - Clinic/Group Practice 7416143987 Receives reassigned benefits from 2 practitioners
Practice locations: Brookhaven, MS

National Provider Directory

National Provider Directory

Locations

800 3rd St
Ste B
Kentwood, LA 70444
Phone (985) 229-8738

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23402/brand/1/csg/1/fhir/r4

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 18365 MS Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.