Individual provider Active NPI

Hope V Pittman, FNP

  • Family Nurse Practitioner
  • Petal, MS
National Provider Identifier
1861087215
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903132 Issued in MS
Practice address
1146 Evelyn Gandy Pkwy
Petal, MS 39465-3947
Phone
(601) 584-4309
NPI assigned
Mar 8, 2021
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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 903132 MS Primary

Addresses

Primary practice location

1146 Evelyn Gandy Pkwy
Petal, MS 39465-3947

Mailing address

15 Smith CV
Purvis, MS 39475-4270
Phone (601) 408-8149

Other names 1

  • Hope V Ferguson Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210809003498 MS Practitioner - Nurse Practitioner 2860896172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Urology, P. a.Group PAC ID 0042287575, 4 clinicians

Practice addresses (Care Compare)

139 Fairfield Dr
Hattiesburg, MS 39402-1303
Phone (601) 450-2401

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Urology, P. a. CurrentSince Aug 1, 2021 Accepting new patients
Wesley Physician Services LLC CurrentSince Mar 16, 2021 Accepting new patients

Locations

139 Fairfield Dr
Hattiesburg, MS 39402
Phone (601) 450-2401

1146 Evelyn Gandy Pkwy
Petal, MS 39465
Phone (601) 584-4309

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4
  • Direct secure messaging: southernsurgicalassociatespa.hopepittman@150945.advancedmd-direct.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1861087215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SMITH CV",
            "city": "PURVIS",
            "state": "MS",
            "postal_code": "394754270",
            "telephone_number": "601-408-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 EVELYN GANDY PKWY",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394653947",
            "telephone_number": "601-584-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "HOPE",
        "middle_name": "V",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOPE",
            "last_name": "FERGUSON",
            "middle_name": "V",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Petal, MS

Sources for this page

Verify at the official NPI Registry.