Active NPI
James Robert Coltharp Jr., MD
- Otolaryngology Physician
- Hattiesburg, MS
National Provider Identifier
1962463968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 08321
- Practice address
- 107 Millsaps Dr
Hattiesburg, MS 39402 - Phone
- (601) 268-5131
- Fax
- (601) 268-5138
- NPI assigned
- Mar 29, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngic Allergy Physician | 207YX0602X | 08321 | MS | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 08321 | MS | |
| Otolaryngology Physician | 207Y00000X | 08321 | MS | Primary |
Addresses
Primary practice location
107 Millsaps Dr
Hattiesburg, MS 39402
Mailing address
PO Box 17829
Hattiesburg, MS 39404-7829
Phone (601) 268-5131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00011925 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | james.coltharp.1@1930.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08321 | MS | MD | Otolaryngic Allergy Physician |
| 09940 | MS | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1962463968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17829",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394047829",
"telephone_number": "601-268-5131",
"fax_number": "601-268-5138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 MILLSAPS DR",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "39402",
"telephone_number": "601-268-5131",
"fax_number": "601-268-5138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLTHARP",
"first_name": "JAMES",
"middle_name": "ROBERT",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "MS",
"license": "08321",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "MS",
"license": "08321",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MS",
"license": "08321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00011925",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "james.coltharp.1@1930.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "amr direct address",
"address_1": "107 Millsaps Dr",
"city": "Hattiesburg",
"state": "MS",
"country_code": "US",
"postal_code": "39402",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}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 Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.