Individual provider Active NPI

David Mallory Plair, NP

  • Family Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1780930677
Registry record updated Jul 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R887697 Issued in MS
Practice address
3700 Hardy St Ste 10
Hattiesburg, MS 39402-1553
Phone
(601) 602-2014
NPI assigned
Jul 28, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R887697 MS
Family Nurse Practitioner 363LF0000X R887697 MS Primary

Addresses

Primary practice location

3700 Hardy St Ste 10
Hattiesburg, MS 39402-1553

Mailing address

510 N 38TH Ave Apt 5
Hattiesburg, MS 39401-5719
Phone (601) 606-6869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20141029001226 LA Practitioner - Nurse Practitioner 7810146826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Practice PartnersGroup PAC ID 4183909740, 80 clinicians

Practice addresses (Care Compare)

8166 Main St
Houma, LA 70360-3404
Phone (985) 873-4751

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practice Partners CurrentSince May 11, 2019 Accepting new patients
Delta Medical Group CurrentSince Apr 15, 2016 Accepting new patients

Locations

8166 Main St
Houma, LA 70360
Phone (800) 456-9121

8120 Main St
Ste 203
Houma, LA 70360
Phone (985) 868-9960

1340 Grand Caillou Rd
Houma, LA 70363
Phone (985) 262-4424

1505 Highway 90 E
Morgan City, LA 70380
Phone (985) 745-6000

Interoperability endpoints

  • Direct secure messaging: dplair408136@direct.ochsner.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1343433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343433600000",
    "number": "1780930677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N 38TH AVE APT 5",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394015719",
            "telephone_number": "601-606-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 HARDY ST STE 10",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021553",
            "telephone_number": "601-602-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAIR",
        "first_name": "DAVID",
        "middle_name": "MALLORY",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-28",
        "last_updated": "2012-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "R887697",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R887697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.