Active NPI
Elbert Anthony Hunt, MD
- General Practice Physician
- Byhalia, MS
National Provider Identifier
1902989007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14652
- Practice address
- 2422 Church St
Byhalia, MS 38611 - Phone
- (662) 838-5565
- Fax
- (662) 838-4770
- NPI assigned
- Oct 23, 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 14652 | MS | Primary |
Addresses
Primary practice location
2422 Church St
Byhalia, MS 38611
Mailing address
PO Box 334
Byhalia, MS 38611
Phone (662) 838-5565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04383371 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141121001981 | MS | Order and Referring Only - General Practice | 0244272979 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14652 | MS | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medical Clinic of North Ms Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Southaven, MS
- NPI 1134174154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902989007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 334",
"city": "BYHALIA",
"state": "MS",
"postal_code": "38611",
"telephone_number": "662-838-5565",
"fax_number": "662-838-4770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2422 CHURCH ST",
"city": "BYHALIA",
"state": "MS",
"postal_code": "38611",
"telephone_number": "662-838-5565",
"fax_number": "662-838-4770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT",
"first_name": "ELBERT",
"middle_name": "ANTHONY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MS",
"license": "14652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04383371",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Byhalia, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.