Ivan Hamblin
Individual provider Active NPI Psychiatry Physician · Whitfield, MS
NPI 1740108992 · NPPES record last updated Jul 7, 2026
Key facts
- NPI
- 1740108992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- HAMB-67NF12 (MS)
- Practice address
- 3550 Hwy 468 W
Whitfield, MS 39193 - Phone
- (601) 351-8000
- NPI assigned
- Jul 7, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | HAMB-67NF12 | MS | Yes |
Addresses
Primary practice location
3550 Hwy 468 W
Whitfield, MS 39193
Mailing address
3550 Hwy 468 W
Whitfield, MS 39193
Phone (601) 351-8000
Other providers in Whitfield, MS
- Craig Leopold Escude
- Patrick Michael Fitz-Gerald
- Andrew William Foret
- Shazia Mulkana Frothingham
- Jennifer E Giambrone
- Kimberly Dawn Harrell
- Stephanie Harris
- Jacob Harwell
- Lemika Hays
- Sheryl Ann Smothers Heffernen
All providers in Whitfield, MS · Psychiatry Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.