Judy Pamela Skaggs

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R685399 Issued in MS

Practice address

9 Willow Bend Dr
Hattiesburg, MS 39402-8552

Phone

(601) 296-2552

Fax

(601) 296-2554

NPI assigned

Jun 10, 2009

Last updated

Jul 7, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8276/brand/1/csg/1/fhir/r4

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.

• Horizon Medical Providers LLC

  • Family Medicine Physician
  • Ridgeland, MS
  • NPI 1982441473
  Medicare reassignment NPD
• Pioneer Health Care , LLC

  • General Practice Physician
  • Bassfield, MS
  • NPI 1336384742
  Medicare reassignment NPD
• Conx Care Corporation

  • Family Medicine Physician
  • Hattiesburg, MS
  • NPI 1548183510
  NPD (past)
• Dudley Burwell, MD, PLLC

  • Orthopaedic Surgery Physician
  • Biloxi, MS
  • NPI 1124225214
  NPD (past)

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1467688986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17708",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394047708",
            "telephone_number": "601-296-2552",
            "fax_number": "601-296-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WILLOW BEND DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028552",
            "telephone_number": "601-296-2552",
            "fax_number": "601-296-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAGGS",
        "first_name": "JUDY",
        "middle_name": "PAMELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R685399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Quin Sirmon, MPT
• Mareen Ann Sistrunk, CRNA
• Bretley Todd Sitzman, M.D.
• Victoria Scott Sivils, M.D.
• SJ Surgical Assisting, LLC
• Sarah Bowen Skinner
• Lisa Deloris Slade, FNP-BC
• Charles Chapman Sledge, MD
• Richard Gray Sloan Jr., D.O.
• Slocum-Radson Medical Laboratories Inc.

• Family Nurse Practitioner in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.