Individual provider Active NPI

James Mitchell Hibbard, MPAS, P.A.-C

  • Physician Assistant
  • Ogden, UT
National Provider Identifier
1811916679
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
345080-1206 Issued in UT
Practice address
2368 Kiesel Ave
Ogden, UT 84401-1964
Phone
(385) 483-4649
NPI assigned
Jul 19, 2006
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 345080-1206 UT Primary

Addresses

Primary practice location

2368 Kiesel Ave
Ogden, UT 84401-1964

Mailing address

2368 Kiesel Ave
Ogden, UT 84401-1964
Phone (385) 483-4649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050818000036 NC Practitioner - Physician Assistant 6406886563 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
345080-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
FHPG, LLC CurrentSince Dec 11, 2017 Accepting new patients
FHPG, LLC CurrentSince Dec 11, 2017 Accepting new patients
Union Family Practice Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients

Locations

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

104 Physicians Park Dr
Rockingham, NC 28379
Phone (910) 895-1989

Interoperability endpoints

  • Direct secure messaging: jhibbard83749@firsthealth.direct-ci.net

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1811916679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2368 KIESEL AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011964",
            "telephone_number": "385-483-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2368 KIESEL AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011964",
            "telephone_number": "385-483-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBARD",
        "first_name": "JAMES",
        "middle_name": "MITCHELL",
        "credential": "MPAS, P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "345080-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.