Individual provider Active NPI

Gregory Todd Hammons, DO

  • Emergency Medicine Physician
  • Roland, AR
National Provider Identifier
1790725711
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E-6704 Issued in AR
Practice address
27015 Jess Morgan Rd
Roland, AR 72135-9016
Phone
(501) 552-2650
Fax
(501) 552-4298
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 100875 WI
Emergency Medicine Physician 207P00000X 2005035772 MO
Emergency Medicine Physician 207P00000X E-6704 AR Primary
Emergency Medicine Physician 207P00000X 5101013518 MI

Addresses

Primary practice location

27015 Jess Morgan Rd
Roland, AR 72135-9016

Mailing address

27015 Jess Morgan Rd
Roland, AR 72135-9016
Phone (501) 552-2650

Other practice location 1

2116 Craig Rd
Eau Claire, WI 54701-6149
Phone (715) 858-4500

Other identifiers 7

IdentifierTypeStateIssuer
G85352OtherKSBLUE CROSS BLUE SHIELD
200369760AOtherKSMEDICAID
1000099600GOtherKSKANSAS MEDICAID HCFA1500
204642102OtherMOMEDICAID
243419306MedicaidMO
200266700BOtherKSMEDICAID
G85352OtherMOBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AR, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040604000647 MI Practitioner - Emergency Medicine 9032191846 Reassigns benefits to 8 organizations
I20101220000277 AR Practitioner - Emergency Medicine 9032191846 Reassigns benefits to 6 organizations
I20180718001493 WI Practitioner - Emergency Medicine 9032191846 Reassigns benefits to 9 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-6704ARMDEmergency Medicine Physician
5101013518MIMDEmergency Medicine Physician
2005035772MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Emergency Medicine of Michigan, PLLC Emergency Medicine CurrentSince Feb 15, 2017 Accepting new patients
Mackinac Straits Health System Inc CurrentSince Feb 1, 2024 Accepting new patients
Ecs Western Michigan PC Emergency Medicine CurrentSince Aug 1, 2018 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 11, 2023 Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Nov 16, 2022 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jul 11, 2023 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 11, 2023 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
CHI St Vincent Hospital Hot Springs CurrentSince Apr 1, 2015 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 11, 2023 Accepting new patients
Nes Kentucky Inc Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jul 11, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince Jul 11, 2023 Accepting new patients
CHI St Vincent Hospital Hot Springs Emergency Medicine CurrentSince Apr 1, 2015 Accepting new patients
Caberfae Emergency Group, P.C. Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 11, 2023 Accepting new patients
Mackinac Straits Health System Inc Emergency Medicine Current Accepting new patients
Conway Regional Medical Center Inc CurrentSince May 7, 2017 Accepting new patients
Baptist Medcare, Inc Emergency Medicine CurrentSince May 1, 2021 Accepting new patients
Southeast Arkansas Emergency Physicians LLP Emergency Medicine CurrentSince Mar 1, 2016 Accepting new patients
Conway Regional Medical Center Inc CurrentSince May 7, 2017 Accepting new patients
Mackinac Straits Health System Inc Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
MCHS Hospitals Inc Emergency Medicine Current Accepting new patients
Marshfield Clinic Inc CurrentSince Jul 11, 2023 Accepting new patients
South Arkansas Pathology, PLLC Current Accepting new patients
Dickinson County Healthcare System CurrentSince Feb 11, 2024 Accepting new patients
Southeast Arkansas Emergency Physicians LLP Emergency Medicine Current Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Flambeau Hospital Inc CurrentSince Jul 11, 2023 Accepting new patients
Skaggs Community Hospital Association Emergency Medicine Past Accepting new patients
Mackinac Straits Hospital Authority Past Accepting new patients
Southwestern Michigan Emergency Services, PC Past Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine Past Accepting new patients

Locations (25 of 31)

3050 Twin Rivers Dr
Arkadelphia, AR 71923
Phone (501) 202-2300

2302 College Ave
Conway, AR 72034
Phone (501) 329-3831

1800 By Pass Rd
Heber Springs, AR 72543
Phone (501) 887-3000

1801 Martin Luther King Jr Dr
Helena, AR 72342
Phone (870) 338-5800

300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1001 Schneider Dr
Malvern, AR 72104
Phone (501) 332-1000

130 Medical Cir
Nashville, AR 71852
Phone (501) 624-7700

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

1703 N Buerkle St
Stuttgart, AR 72160
Phone (870) 674-6301

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

1840 Wealthy St SE
Grand Rapids, MI 49506
Phone (616) 391-1730

615 S Bower St
Greenville, MI 48838
Phone (616) 754-4341

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

Interoperability endpoints

  • Direct secure messaging: ghammons59721@mymichiganhealth.midirect.net
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 35

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.

View all 35

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Kansas City University of Physicians and Surgeons, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medcare Inc 53 clinicians

Practice addresses (Care Compare)

3050 Twin Rivers Dr
Arkadelphia, AR 71923-4218
Phone (501) 202-2300

Hospital & facility affiliations

  • Baptist Health Medical Center Heber Springs Hospital, Heber Springs, AR, CCN 041312
  • Baptist Health Medical Center-Stuttgart Hospital, Stuttgart, AR, CCN 040072
  • Baptist Health Medical Center-Stuttgart Hospital, Stuttgart, AR, CCN 041337
  • Baptist Health Medical Center-Arkadelphia Hospital, Arkadelphia, AR, CCN 041321
  • Baptist Health Medical Center-Hot Springs County Hospital, Malvern, AR, CCN 040076

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1790725711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27015 JESS MORGAN RD",
            "city": "ROLAND",
            "state": "AR",
            "postal_code": "721359016",
            "telephone_number": "501-552-2650",
            "fax_number": "501-552-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27015 JESS MORGAN RD",
            "city": "ROLAND",
            "state": "AR",
            "postal_code": "721359016",
            "telephone_number": "501-552-2650",
            "fax_number": "501-552-4298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2116 Craig Rd",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547016149",
            "country_code": "US",
            "telephone_number": "715-858-4500",
            "fax_number": "715-858-4502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMONS",
        "first_name": "GREGORY",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "100875",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2005035772",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-6704",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101013518",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "G85352",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "200369760A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS MEDICAID HCFA1500",
            "identifier": "1000099600G",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "204642102",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243419306",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "200266700B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "G85352",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "2116 Craig Rd",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547016149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roland, AR

Sources for this page

Verify at the official NPI Registry.