Active NPI
James Hattaway, M.D.
- Urology Physician
- Albany, GA
National Provider Identifier
1982699385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 010952
- Practice address
- 1950 Palmyra Rd
Albany, GA 31701-1575 - Phone
- (229) 883-1503
- Fax
- (229) 432-7583
- NPI assigned
- Sep 13, 2005
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 010952 | GA | Primary |
Addresses
Primary practice location
1950 Palmyra Rd
Albany, GA 31701-1575
Mailing address
1950 Palmyra Rd
Albany, GA 31701-1575
Phone (229) 883-1503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00017212A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010952 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367280000000",
"number": "1982699385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 PALMYRA RD",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011575",
"telephone_number": "229-883-1503",
"fax_number": "229-432-7583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 PALMYRA RD",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011575",
"telephone_number": "229-883-1503",
"fax_number": "229-432-7583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATTAWAY",
"first_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "010952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00017212A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.