Active NPI
Jimmy Blaine Harkins, MD
- Anatomic Pathology & Clinical Pathology Physician
- Jacksonville, TX
National Provider Identifier
1780609552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- E0958
- Practice address
- 501 South Ragsdale
Department of Pathology
Jacksonville, TX 75766 - Phone
- (903) 541-5187
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | E0958 | TX | Primary |
Addresses
Primary practice location
501 South Ragsdale
Department of Pathology
Jacksonville, TX 75766
Mailing address
PO Box 1888
Greenville, TX 75403
Phone (903) 541-5155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0958 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780609552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1888",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "75403",
"telephone_number": "903-541-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SOUTH RAGSDALE",
"address_2": "DEPARTMENT OF PATHOLOGY",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "75766",
"telephone_number": "903-541-5187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARKINS",
"first_name": "JIMMY",
"middle_name": "BLAINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "E0958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.