John Phenis Hey III, MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

4986 Issued in MS

Practice address

405 River Rd
Greenwood, MS 38930-4212

Phone

(662) 453-6177

Fax

(662) 453-7787

NPI assigned

Aug 2, 2006

Last updated

Jan 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Greenwood Leflore Hospital

  • General Acute Care Hospital
  • Greenwood, MS
  • NPI 1578595302
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1659388585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 RIVER RD",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304212",
            "telephone_number": "662-453-6177",
            "fax_number": "662-453-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 RIVER RD",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304212",
            "telephone_number": "662-453-6177",
            "fax_number": "662-453-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEY",
        "first_name": "JOHN",
        "middle_name": "PHENIS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "4986",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "MS",
            "license": "4986",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MS",
            "license": "4986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00012178",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Constance Harrison
• Melinda Harvey
• Victoria Manning Hawkins, PCMHT
• Henry Flautt Jr MD PA (Henry Flautt Jr MD)
• Timesha Dianadria Henson
• Bettie Hicks
• Mache Higgason
• Emilee Hill
• Kenneth L. Hines, M.D.
• Adam W Hodges, D.M.D.

• Geriatric Medicine (Family Medicine) Physician in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Geriatric Medicine (Family Medicine) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.