Individual provider Active NPI

Erma Jean Hawkins, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Clarksdale, MS
National Provider Identifier
1831610914
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
864195 Issued in MS
Practice address
800 Ohio Ave
Clarksdale, MS 38614-7200
Phone
(662) 624-2504
Fax
(662) 627-3629
NPI assigned
Jun 29, 2017
Last updated
Jun 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 864195 MS Primary

Addresses

Primary practice location

800 Ohio Ave
Clarksdale, MS 38614-7200

Mailing address

PO Box 1216
Clarksdale, MS 38614-1216
Phone (662) 624-4292

Other practice location 1

216 Highway 51 N
Batesville, MS 38606-2311
Phone (662) 563-1858

Other practice location 2

510 Highway 322
Clarksdale, MS 38614-4717
Phone (662) 624-4292

Other practice location 3

643 W Service Dr
Coldwater, MS 38618-3822
Phone (662) 233-5200

Other practice location 4

1820 Peabody St
Tunica, MS 38676-9441
Phone (662) 363-3656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170801000902 MS Practitioner - Nurse Practitioner 0749551380 Reassigns benefits to 1 organization
I20240603003812 ND Practitioner - Nurse Practitioner 0749551380 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron E Henry Community Health Multi-Specialty CurrentSince Aug 14, 2017 Accepting new patients
Aaron E. Henry Community Health Services Center, Inc CurrentSince Aug 14, 2017 Accepting new patients
Elbowoods Memorial Health Center Multi-Specialty CurrentSince Apr 29, 2024 Accepting new patients
Aaron E Henry Community Health Past Accepting new patients

Locations

216 Highway 51 N
Batesville, MS 38606
Phone (662) 563-1858

510 Highway 322
Clarksdale, MS 38614
Phone (662) 624-2504

600 Ohio Ave
Clarksdale, MS 38614
Phone (662) 624-2872

800 Ohio Ave
Clarksdale, MS 38614
Phone (662) 624-2504

643 W Service Dr
Coldwater, MS 38618
Phone (662) 233-5200

1820 Peabody St
Tunica, MS 38676
Phone (662) 363-3656

1058 College Dr
New Town, ND 58763
Phone (701) 627-4750

1251 Elbowoods Loop
New Town, ND 58763
Phone (701) 627-4750

Organizations & group practices 4

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1831610914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1216",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386141216",
            "telephone_number": "662-624-4292",
            "fax_number": "662-624-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OHIO AVE",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147200",
            "telephone_number": "662-624-2504",
            "fax_number": "662-627-3629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Highway 51 N",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "MS",
            "postal_code": "386062311",
            "country_code": "US",
            "telephone_number": "662-563-1858",
            "fax_number": "662-563-0617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Highway 322",
            "address_purpose": "LOCATION",
            "city": "Clarksdale",
            "state": "MS",
            "postal_code": "386144717",
            "country_code": "US",
            "telephone_number": "662-624-4292",
            "fax_number": "662-624-4354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "643 W Service Dr",
            "address_purpose": "LOCATION",
            "city": "Coldwater",
            "state": "MS",
            "postal_code": "386183822",
            "country_code": "US",
            "telephone_number": "662-233-5200",
            "fax_number": "662-622-7008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1820 Peabody St",
            "address_purpose": "LOCATION",
            "city": "Tunica",
            "state": "MS",
            "postal_code": "386769441",
            "country_code": "US",
            "telephone_number": "662-363-3656",
            "fax_number": "662-363-3789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "ERMA",
        "middle_name": "JEAN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "864195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksdale, MS

Sources for this page

Verify at the official NPI Registry.