Active NPI
Barbarita Mabel Dearman, FNP
- Family Nurse Practitioner
- Hattiesburg, MS
National Provider Identifier
1922457266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- DEAR-V213RW
- Practice address
- 6600 U S Highway 98 Ste B
Hattiesburg, MS 39402-8441 - Phone
- (601) 261-2727
- NPI assigned
- Jun 7, 2016
- Last updated
- Jun 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 Nurse Practitioner | 363LF0000X | DEAR-V213RW | MS | Primary |
Addresses
Primary practice location
6600 U S Highway 98 Ste B
Hattiesburg, MS 39402-8441
Mailing address
83 Quail Run LN
Columbia, MS 39429-3716
Other names 1
- Mrs. Barbie Mabel Dearman Stockebrand
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEAR-V213RW | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Medical Care | Past | Accepting new patients |
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.
-
dba Southern Medical Care, PLLC
- Family Medicine Physician
- Hattiesburg, MS
- NPI 1033537469
-
- Family Medicine Physician
- Hattiesburg, MS
- NPI 1740374560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1922457266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 QUAIL RUN LN",
"city": "COLUMBIA",
"state": "MS",
"postal_code": "394293716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 U S HIGHWAY 98 STE B",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028441",
"telephone_number": "601-261-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEARMAN",
"first_name": "BARBARITA",
"middle_name": "MABEL",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-07",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "DEAR-V213RW",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BARBIE",
"last_name": "DEARMAN STOCKEBRAND",
"middle_name": "MABEL",
"prefix": "MRS.",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.