Jamelia A Durr

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

610 Adeline St Ste 1a
Hattiesburg, MS 39401-3875

Phone

(601) 325-3932

NPI assigned

Jul 10, 2023

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Caleb Mountain Climbing Wholistic International Center LLC

  • Multi-Specialty Clinic/Center
  • Hattiesburg, MS
  • NPI 1487201372
  NPD

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1497433536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 W PINE ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394014259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 ADELINE ST STE 1A",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013875",
            "telephone_number": "601-325-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURR",
        "first_name": "JAMELIA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skyler Dungan, FNP
• Trinity C Dungan, M.S., CCC-SLP
• Kimberly Elaine Dunn
• Mary C Dunn
• Destiny Durr
• Mia Ben'NA Durrell
• Kimberly A Dykes, LMSW
• Sergey S Dzugan, M.D.
• E L Brown Company LLC
• Eagle Labs 1

• Case Manager/Care Coordinator in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Case Manager/Care Coordinator in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.