Active NPI
Durward Stanley Hartness, MD
- Family Medicine Physician
- Jackson, MS
National Provider Identifier
1831152164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 05618
- Practice address
- 1200 Meadowbrook Rd Apt 48
Jackson, MS 39206-6109 - Phone
- (601) 927-3404
- NPI assigned
- Apr 8, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05618 | MS | Primary |
Addresses
Primary practice location
1200 Meadowbrook Rd Apt 48
Jackson, MS 39206-6109
Mailing address
1200 Meadowbrook Rd Apt 48
Jackson, MS 39206-6109
Phone (601) 927-3404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00115727 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Group of Mississippi LLC | Past | Accepting new patients | |
| State Veterans Affairs Board | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Kosciusko Medical Clinic
- Clinic/Center
- Kosciusko, MS
- NPI 1790827038
-
dba Jackson Medical Clinic LLC
- Clinic/Center
- Jackson, MS
- NPI 1548219884
-
- Skilled Nursing Facility
- Jackson, MS
- NPI 1982811642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1831152164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 MEADOWBROOK RD APT 48",
"city": "JACKSON",
"state": "MS",
"postal_code": "392066109",
"telephone_number": "601-927-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 MEADOWBROOK RD APT 48",
"city": "JACKSON",
"state": "MS",
"postal_code": "392066109",
"telephone_number": "601-927-3404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTNESS",
"first_name": "DURWARD",
"middle_name": "STANLEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "05618",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00115727",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.