Individual provider Active NPI

Jeffrey Flint Hamblin, P.A.-C.

  • Physician Assistant
  • Durant, OK
National Provider Identifier
1497883789
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
811 Issued in OK
Practice address
1805 W University Blvd
Durant, OK 74701-3011
Phone
(580) 931-5010
Fax
(580) 931-5015
NPI assigned
Mar 1, 2007
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 811 OK Primary

Addresses

Primary practice location

1805 W University Blvd
Durant, OK 74701-3011

Mailing address

1805 W University Blvd
Durant, OK 74701-3011
Phone (580) 931-5010

Other identifiers 3

IdentifierTypeStateIssuer
345749101MedicaidTX
P01492274OtherTXRR MEDICARE
P01469754OtherOKRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040728001513 OK Practitioner - Physician Assistant 7517947856 Reassigns benefits to 2 organizations
I20080211000742 TX Practitioner - Physician Assistant 7517947856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1805 W University Blvd
Durant, OK 74701-3011
Phone (580) 931-5010

5701 Virginia Pkwy
McKinney, TX 75071-5652
Phone (214) 592-0212

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
811OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Texomacare Physician Assistant CurrentSince Mar 2, 2015 Accepting new patients
Loyalty Health Urgent Care LLC CurrentSince Aug 29, 2025 Accepting new patients
Texomacare Physician Assistant CurrentSince Mar 2, 2015 Accepting new patients
Urgent Care Clinic of Atoka, PC Past Accepting new patients

Locations

1805 W University Blvd
Durant, OK 74701
Phone (580) 920-0300

1807 W University Blvd
Durant, OK 74701
Phone (580) 920-0025

3126 W FM 120
Denison, TX 75020
Phone (903) 416-7544

5012 US Highway 75
Denison, TX 75020
Phone (903) 416-1726

5012 US Highway 75
Ste 100
Denison, TX 75020
Phone (903) 416-6325

5012 US Highway 75
Ste 300
Denison, TX 75020
Phone (903) 416-6025

111 E Highway 120
Ste 104
Pottsboro, TX 75076
Phone (903) 786-3911

557 W FM 120
Pottsboro, TX 75076
Phone (903) 786-3911

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDGFAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FFDJDD/Endpoint/FFDJDD

Organizations & group practices 6

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 1

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1497883789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013011",
            "telephone_number": "580-931-5010",
            "fax_number": "580-931-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013011",
            "telephone_number": "580-931-5010",
            "fax_number": "580-931-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBLIN",
        "first_name": "JEFFREY",
        "middle_name": "FLINT",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345749101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01492274",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01469754",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.