Individual provider Active NPI

Denise Hefner Sojourner, MD

  • Family Medicine Physician
  • Pontotoc, MS
National Provider Identifier
1770699670
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16870 Issued in MS
Practice address
359 Old Oak Cir
Pontotoc, MS 38863-5016
Phone
(662) 489-5999
Fax
(662) 489-5991
NPI assigned
Aug 22, 2006
Last updated
Jan 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16870 MS Primary

Addresses

Primary practice location

359 Old Oak Cir
Pontotoc, MS 38863-5016

Mailing address

PO Box 1065
359 Old Oak Circle
Pontotoc, MS 38863-1065
Phone (662) 489-5999

Other identifiers 1

IdentifierTypeStateIssuer
00122628MedicaidMS

Other names 1

  • Dr. Denise Marie Hefner Former name

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
I20080725000243 MS Practitioner - Family Practice 0941373823 Practice locations: Pontotoc, MS

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

359 Old Oak Cir
Pontotoc, MS 38863-5016
Phone (662) 489-5999

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions23
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1169TXMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dsojourner@dhsm-ms.direct.office.nextgen.com

Organizations & group practices 1

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 5

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1770699670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1065",
            "address_2": "359 OLD OAK CIRCLE",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388631065",
            "telephone_number": "662-489-5999",
            "fax_number": "662-489-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 OLD OAK CIR",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388635016",
            "telephone_number": "662-489-5999",
            "fax_number": "662-489-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOJOURNER",
        "first_name": "DENISE",
        "middle_name": "HEFNER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "16870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122628",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "HEFNER",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pontotoc, MS

Sources for this page

Verify at the official NPI Registry.