Individual provider Active NPI

Jefferson Hopkins Harman Jr., M.D.

  • Family Medicine Physician
  • Gautier, MS
National Provider Identifier
1467433441
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24199 Issued in MS
Practice address
2105 Old Spanish TRL
Gautier, MS 39553-6000
Phone
(228) 205-7700
Fax
(228) 205-7715
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 78679 FL
Family Medicine Physician 207Q00000X 24199 MS Primary

Addresses

Primary practice location

2105 Old Spanish TRL
Gautier, MS 39553-6000

Mailing address

2105 Old Spanish TRL
Gautier, MS 39553-6000
Phone (228) 205-7700

Other identifiers 1

IdentifierTypeStateIssuer
1467433441OtherMDNPPES

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

LicenseStateTypeSpecialty
ME 78679FLMDFamily Medicine Physician
24199MSMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1467433441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 OLD SPANISH TRL",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395536000",
            "telephone_number": "228-205-7700",
            "fax_number": "228-205-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 OLD SPANISH TRL",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395536000",
            "telephone_number": "228-205-7700",
            "fax_number": "228-205-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMAN",
        "first_name": "JEFFERSON",
        "middle_name": "HOPKINS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 78679",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "24199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1467433441",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gautier, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.