Individual provider Active NPI

Derek Hunt

  • Emergency Medical Services (Emergency Medicine) Physician
  • Madison, AL
National Provider Identifier
1740642180
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
207PE0004X Issued in MS
Practice address
709 Sugar Bend Cir SW
Madison, AL 35756-5311
Phone
(904) 233-7038
NPI assigned
Mar 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 207PE0004X MS Primary

Addresses

Primary practice location

709 Sugar Bend Cir SW
Madison, AL 35756-5311

Mailing address

709 Sugar Bend Cir SW
Madison, AL 35756-5311
Phone (904) 233-7038

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
I20181119001933 MS Practitioner - Emergency Medicine 7113273962 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Mississippi Regional Medical CenterGroup PAC ID 5193633907, 82 clinicians
Hattiesburg HB Medical Services LLCGroup PAC ID 6507220167, 27 clinicians

Practice addresses (Care Compare)

215 Marion Ave
McComb, MS 39648-2705
Phone (601) 249-5500

5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 286-2090

Hospital & facility affiliations

  • Merit Health Wesley Hospital, Hattiesburg, MS, CCN 250094
  • Southwest Ms Regional Medical Center Hospital, McComb, MS, CCN 250097
  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226

Merit-based Incentive Payment System (MIPS)

Final score
89.09 of 100Reported as apm
Quality
73.43
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
60.83 of 100Reported as group
Quality
0
Improvement activities
40
Cost
76.94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
App of Mississippi Ed, LLC CurrentSince Jan 1, 2019 Accepting new patients
Southwest Mississippi Regional Medical Center CurrentSince Aug 1, 2021 Accepting new patients
Southwest Mississippi Regional Medical Center CurrentSince Aug 1, 2021 Accepting new patients
Relias Emergency Medicine Specialists of McComb, LLC CurrentSince Jan 1, 2020 Accepting new patients
Hattiesburg HB Medical Services LLC CurrentSince Jul 20, 2023 Accepting new patients
Southwest Mississippi Regional Medical Center Past Accepting new patients

Locations

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180

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

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1740642180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 SUGAR BEND CIR SW",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357565311",
            "telephone_number": "904-233-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 SUGAR BEND CIR SW",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357565311",
            "telephone_number": "904-233-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "DEREK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MS",
            "license": "207PE0004X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.