Individual provider Active NPI

Chassidy Hammond, NP

  • Pediatrics Physician
  • Ocean Springs, MS
National Provider Identifier
1932407004
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R873123 Issued in MS
Practice address
1800 Government St
Ocean Springs, MS 39564-3931
Phone
(228) 818-2450
Fax
(228) 818-2451
NPI assigned
Mar 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R873123 MS Primary

Addresses

Primary practice location

1800 Government St
Ocean Springs, MS 39564-3931

Mailing address

1800 Government Street
Ocean Springs, MS 39564
Phone (228) 818-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20151104001586 AL Practitioner - Nurse Practitioner 0042520900 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R873123MSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Alabama Medical Clinic, LLC Pediatrics CurrentSince Oct 1, 2015 Accepting new patients
Rowan Health and Wellness PastSince Aug 4, 2021 Accepting new patients
Dugger Childrens Clinic Past Accepting new patients
Coast Pediatrics PastSince Jul 31, 2023 Accepting new patients

Locations

10075 Grand Bay Wilmer Rd S
Grand Bay, AL 36541
Phone (251) 865-1852

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAJJDD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1932407004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 GOVERNMENT STREET",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "39564",
            "telephone_number": "228-818-2450",
            "fax_number": "228-818-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 GOVERNMENT ST",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643931",
            "telephone_number": "228-818-2450",
            "fax_number": "228-818-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "CHASSIDY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "R873123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.