Individual provider Active NPI

Patricia E Hemphill, NP

  • Nurse Practitioner
  • Greenville, MS
National Provider Identifier
1780604066
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R640549 Issued in MS
Practice address
1513 E Union St
Greenville, MS 38703-3249
Phone
(662) 334-7747
NPI assigned
Jul 20, 2006
Last updated
May 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R640549 MS Primary

Addresses

Primary practice location

1513 E Union St
Greenville, MS 38703-3249

Mailing address

PO Box 5247
Greenville, MS 38704-5247
Phone (662) 334-7747

Other identifiers 3

IdentifierTypeStateIssuer
00116980MedicaidMS
161403758MedicaidAR
1792004MedicaidLA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101000814 MS Practitioner - Nurse Practitioner 0345202446 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Medical Group Nurse Practitioner CurrentSince Jan 22, 2010 Accepting new patients
United Emergency Services, Inc. Nurse Practitioner Past Accepting new patients
Delta Health System Past Accepting new patients
Delta Health System Past Accepting new patients
Delta Physician Practices Past Accepting new patients

Locations

1693 Fairgrounds Rd
Greenville, MS 38703
Phone (662) 378-3783

1693 S Colorado St
Greenville, MS 38703
Phone (662) 332-3005

300 S Washington Ave
Greenville, MS 38701
Phone (662) 378-2020

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1780604066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5247",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387045247",
            "telephone_number": "662-334-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 E UNION ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033249",
            "telephone_number": "662-334-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMPHILL",
        "first_name": "PATRICIA",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R640549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116980",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161403758",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1792004",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

Verify at the official NPI Registry.