Active NPI
Herman Talmadge Palmer, MD
- General Practice Physician
- Baldwyn, MS
National Provider Identifier
1811088115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 09648
- Practice address
- 529 S Fourth St
Baldwyn, MS 38824-2114 - Phone
- (662) 365-2222
- NPI assigned
- Sep 28, 2006
- Last updated
- Oct 30, 2012
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 09648 | MS | Primary |
Addresses
Primary practice location
529 S Fourth St
Baldwyn, MS 38824-2114
Mailing address
529 S Fourth St
Baldwyn, MS 38824-2114
Phone (662) 365-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00113358 | Medicaid | MS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09648 | MS | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1811088115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 S FOURTH ST",
"city": "BALDWYN",
"state": "MS",
"postal_code": "388242114",
"telephone_number": "662-365-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 S FOURTH ST",
"city": "BALDWYN",
"state": "MS",
"postal_code": "388242114",
"telephone_number": "662-365-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "HERMAN",
"middle_name": "TALMADGE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MS",
"license": "09648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00113358",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baldwyn, MS
- North Mississippi Medcial Center, Inc. (Baldwyn Outpatient Rehab)
- North Mississippi Medical Center, Inc. (NMMC/Baldwyn Nursing Facility)
- North Mississippi Medical Clinics Inc (Baldwyn Medical Clinic)
- Northridge Pharmacy, Inc.
- Nursemed LLC (NurseMed 2)
- Donald Ansel Presley, DMD
- William Bryce Prestage, RPH
- John Alan Ricks, RRT
- Robert Charles Ricks II
- Leland Moore Roberts, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.