Individual provider Active NPI

Declan F Hegarty, MD

  • Surgery Physician
  • Lucedale, MS
National Provider Identifier
1477526945
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25465 Issued in MS
Practice address
57 Dewey St
Lucedale, MS 39452-5707
Phone
(601) 766-0308
Fax
(601) 766-0309
NPI assigned
Feb 7, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME94859 FL
Surgery Physician 208600000X 25465 MS Primary

Addresses

Primary practice location

57 Dewey St
Lucedale, MS 39452-5707

Mailing address

PO Box 1007
Lucedale, MS 39452-1007
Phone (601) 766-0308

Other practice location 1

872 Winter St
Lucedale, MS 39452-5797
Phone (601) 766-0308

Other practice location 2

403 W Highland Blvd
Inverness, FL 34452-4717
Phone (352) 726-3646

Other practice location 3

872 Winter St
Lucedale, MS 39452-5797
Phone (601) 766-0308

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180102001542 MS Practitioner - General Surgery 5698774719 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vicksburg Clinic LLCGroup PAC ID 5890696330, 27 clinicians

Practice addresses (Care Compare)

2100 Hwy 61 N
Vicksburg, MS 39183-8211
Phone (601) 883-5000

2200 Hwy 61 N
Vicksburg, MS 39183-8246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux39
Melanoma (skin cancer) excision1-10
Removal of tissue46
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
George County Hospital Current Accepting new patients
Vicksburg Healthcare LLC CurrentSince Nov 28, 2023 Accepting new patients
Vicksburg Healthcare LLC CurrentSince Nov 28, 2023 Accepting new patients
Community Surgical Center Dr. David Crump Surgery CurrentSince Dec 27, 2017 Accepting new patients
Vicksburg Clinic LLC CurrentSince Jan 8, 2024 Accepting new patients
Port Charlotte Hma Physician Management LLC Surgery Past Accepting new patients
Gulf Coast Hma Physician Management LLC Surgery Past Accepting new patients
Vicksburg Clinic LLC Surgery Past Accepting new patients
Port Charlotte Hma Physician Management LLC Past Accepting new patients

Locations

57 Dewey St
Lucedale, MS 39452
Phone (601) 766-0308

872 Winter St
Lucedale, MS 39452
Phone (601) 766-0308

104 McAuley Dr
Vicksburg, MS 39183
Phone (601) 638-7271

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

Interoperability endpoints

  • Direct secure messaging: declan.hegarty.1@1475.direct.athenahealth.com
  • Direct secure messaging: declanhegarty@communitym.allscriptsdirect.net
  • Direct secure messaging: declanhegarty@grh.medalliesdirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477526945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1007",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394521007",
            "telephone_number": "601-766-0308",
            "fax_number": "601-766-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 DEWEY ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394525707",
            "telephone_number": "601-766-0308",
            "fax_number": "601-766-0309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "872 Winter St",
            "address_purpose": "LOCATION",
            "city": "Lucedale",
            "state": "MS",
            "postal_code": "394525797",
            "country_code": "US",
            "telephone_number": "601-766-0308",
            "fax_number": "601-766-0309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 W Highland Blvd",
            "address_purpose": "LOCATION",
            "city": "Inverness",
            "state": "FL",
            "postal_code": "344524717",
            "country_code": "US",
            "telephone_number": "352-726-3646",
            "fax_number": "352-726-0079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "872 Winter St",
            "address_purpose": "LOCATION",
            "city": "Lucedale",
            "state": "MS",
            "postal_code": "394525797",
            "country_code": "US",
            "telephone_number": "601-766-0308",
            "fax_number": "601-766-0309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEGARTY",
        "first_name": "DECLAN",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME94859",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "25465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lucedale, MS

Sources for this page

Verify at the official NPI Registry.