Overview
Hattiesburg Hb Medical Services LLC is a Emergency Medicine Physician (organization) practicing in Hattiesburg, Mississippi. The National Provider Identifier (NPI) is #1699456376, which was assigned on July 26, 2023, and the registration record was last updated on January 24, 2024. The practitioner's main practice location is at 5001 Hardy St, Hattiesburg, MS 39402-1308; the contact telephone number is 6012962090. The primary taxonomy of Hattiesburg Hb Medical Services LLC is Emergency Medicine Physician (207P00000X). The authorized official for Hattiesburg Hb Medical Services LLC is Wendi Keeton (Sr. Director, Hospital Based Ops).
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Provider Information
| NPI | 1699456376 |
| Entity Type | Organization |
| Organization Name | HATTIESBURG HB MEDICAL SERVICES LLC |
| Provider Name | HATTIESBURG HB MEDICAL SERVICES LLC |
| Other Organization Name | MERIT HEALTH WESLEY (Doing Business As Name) |
| Other Name | MERIT HEALTH WESLEY |
| Practice Address | 5001 Hardy St Hattiesburg MS 39402-1308 |
| Practice Telephone | 6012962090 |
| Mailing Address | Po Box 680060 Franklin TN 37068-0060 |
| Mailing Telephone | 6156286504 |
| Mailing Fax Number | 6592356176 |
| Certification Date | 2024-01-24 |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2024-01-24 |
| Is Organization Subpart | N |
Authorized Official Information
| Official Name | WENDI KEETON |
| Official Title | SR. DIRECTOR, HOSPITAL BASED OPS |
| Telephone | 8778929815 |
Taxonomy and Licenses
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 193200000X MULTI-SPECIALTY GROUP | |||
| N | 208M00000X | Hospitalist | 193200000X MULTI-SPECIALTY GROUP | |||
| N | 363A00000X | Physician Assistant | 193200000X MULTI-SPECIALTY GROUP | |||
| N | 363L00000X | Nurse Practitioner | 193200000X MULTI-SPECIALTY GROUP |
Other Provider Names
| Other Organization Name | Type |
|---|---|
| Merit Health Wesley | Doing Business As Name |
Providers with the same name
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Wesley Health System LLC · Merit Health Wesley | 5001 Hardy St, Hattiesburg, MS 39402-1308 | Psychiatric Hospital Unit | 2015-12-29 |
| Wesley Health System LLC · Merit Health Wesley | 5001 Hardy St, Hattiesburg, MS 39402-1308 | Skilled Nursing Facility | 2006-05-22 |
| Wesley Health System LLC · Merit Health Wesley | 5001 Hardy St, Hattiesburg, MS 39402-1308 | General Acute Care Hospital | 2006-05-14 |
Taxonomy Information
Primary Taxonomy
| Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| Classification | Emergency Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
Other Taxonomy
| Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| Classification | Hospitalist |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition added] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
Other Taxonomy
| Code | 363A00000X |
| Taxonomy | Physician Assistant |
| Classification | Physician Assistant |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Other Taxonomy
| Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| Classification | Nurse Practitioner |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
Providers with the same taxonomy
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kishan Ketan Ghodasara | 420 S 5th Ave, West Reading, PA 19611-2143 | Emergency Medicine Physician | 2024-07-03 |
| Jackson Cooper Gordon | 900 Cooper Ave, Saginaw, MI 48602-5182 | Emergency Medicine Physician | 2024-06-26 |
| Julian Cain Puga | 5450 Fort St, Trenton, MI 48183-4601 | Emergency Medicine Physician | 2024-06-28 |
| Ross Martin Laymon · Michelle Heagerty | 320 E North Ave, Pittsburgh, PA 15212-4756 | Emergency Medicine Physician | 2024-07-01 |
| Katelyn Fritsche | 169 Ashley Ave # Msc300, Charleston, SC 29425-8905 | Emergency Medicine Physician | 2024-07-01 |
| Phillip Zeek | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | Emergency Medicine Physician | 2024-06-26 |
| Leif Erickson Laperriere | 901 Harborside Dr, Galveston, TX 77555-5302 | Emergency Medicine Physician | 2024-06-25 |
| Bridget Omo Usen | 640 South State Street Dover De 19901 Mailcode: 3007, Dover, DE 19901 | Emergency Medicine Physician | 2024-07-02 |
| Procare Emergency Physicians Lakewood PLLC | 6101 E Mockingbird Ln, Dallas, TX 75214-2602 | Emergency Medicine Physician | 2024-06-26 |
| Joseph Lloyd | 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 | Emergency Medicine Physician | 2024-06-24 |
| Find all providers with the same taxonomy | |||
Location Information
| Street Address | 5001 HARDY ST |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1308 |
| Country | US |
Providers in the same location
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Adarsh Manawa | 5001 Hardy St, Hattiesburg, MS 39402-1308 | Student in an Organized Health Care Education/Training Program | 2024-04-01 |
| Mehjabeen Darugar | 5001 Hardy St, Hattiesburg, MS 39402-1308 | Student in an Organized Health Care Education/Training Program | 2024-04-03 |
| Rahul Reddy Tirumalareddy | 5001 Hardy St, Hattiesburg, MS 39402-1308 | Student in an Organized Health Care Education/Training Program | 2023-07-17 |
| Josiah Marcellino | 5001 Hardy St, Hattiesburg, MS 39402-1308 | Student in an Organized Health Care Education/Training Program | 2024-03-29 |
| Awais Zafar | 5001 Hardy St, Hattiesburg, MS 39402-1308 | Student in an Organized Health Care Education/Training Program | 2024-05-13 |
| Hemaswini Kakarla | 5001 Hardy St, Hattiesburg, MS 39402-1308 | Student in an Organized Health Care Education/Training Program | 2024-04-10 |
| Annette Longo | 5001 Hardy St, Hattiesburg, MS 39402-1308 | Emergency Medicine Physician | 2024-06-17 |
| Krishna N Patel | 5001 Hardy St, Hattiesburg, MS 39402-1308 | Student in an Organized Health Care Education/Training Program | 2024-03-25 |
| James Nicholas Christofidis | 5001 Hardy St, Hattiesburg, MS 39402-1308 | Student in an Organized Health Care Education/Training Program | 2024-03-22 |
| Qubais Khalid Meteab Al-Obeidi | 5001 Hardy St, Hattiesburg, MS 39402-1308 | Student in an Organized Health Care Education/Training Program | 2024-03-19 |
| Find all providers in the same location | |||
Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Elizabeth A. Perry | 1220 Marrie St, Hattiesburg, MS 39402 | Attendant Care Provider | 2020-02-26 |
| Hattiesburg Clinic, Pa | Orleans Park Family Medicine, 15 Orleans Drive, Hattiesburg, MS 39402 | Primary Care Clinic/Center | 2021-01-27 |
| Beacon Healthcare Associates, PLLC | 5266 Old Hwy 11, Suite 50 Pmb 158, Hattiesburg, MS 39402 | Nurse Practitioner | 2021-09-27 |
| Mindset Matter LLC | 6760 Hwy 98, Suite 1, Hattiesburg, MS 39402 | Mental Health Counselor | 2024-01-19 |
| Kade Simpson | Merit Health Wesley 5001 Hardy Street, Hattiesburg, MS 39402 | Student in an Organized Health Care Education/Training Program | 2021-04-16 |
| Alexis Goza | 110 Lakewood Loop, Hattiesburg, MS 39402 | School Social Worker | 2021-12-13 |
| Ekeista Keaton | 6766 Hwy 98w, Ste 1, Hattiesburg, MS 39402 | Nurse Practitioner | 2023-08-23 |
| Megan Marie Smith | 11 Woodstone Plaza, Hattiesburg, MS 39402 | Social Worker | 2019-12-09 |
| Legacy Wellness Services LLC | 6068 Us Hwy 98 West, Hattiesburg, MS 39402 | Mental Health Counselor | 2021-07-15 |
| Alexis Magee | 2010 Oak Grove Rd, Bldg 3 Ste 2, Hattiesburg, MS 39402 | Orthotic Fitter | 2023-07-26 |
| Find all providers in the same zip code | |||
Similar Providers
Providers with similar names
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Merit Medical Rural Health Clinic-Oakwood, Inc. | 1016 Kennel Gap Road, Oakwood, VA 24631 | Rural Health Clinic/Center | 2006-04-19 |
| Jones County Medical Supplies, Inc · Hattiesburg Medical Supply -West | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | Oxygen Equipment & Supplies (DME) | 2020-08-11 |
| Southeast Mississippi Rural Health Initiative, Inc. | 100 W Front St, Hattiesburg, MS 39401-3460 | Federally Qualified Health Center (FQHC) | 2006-06-30 |
| Merit Health Wesley | 5001 Hardy St, Hattiesburg, MS 39402-1308 | General Acute Care Hospital | 2016-03-25 |
| Merit Medical Rural Health Clinic-Richlands, Inc. | 6719 Governor G.C. Peery Highway, Suite 3100, Richlands, VA 24641 | Rural Health Clinic/Center | 2006-04-19 |
| Southeast Mississippi Rural Health Initiative, Inc. | 66 Old Airport Rd, Hattiesburg, MS 39401-8382 | Federally Qualified Health Center (FQHC) | 2006-03-03 |
| Jones County Medical Supplies, Inc · Hattiesburg Medical Supply | 1301 S 28th Ave, Hattiesburg, MS 39402-3106 | Durable Medical Equipment & Medical Supplies | 2006-04-10 |
| Merit Family Services · Merit Chemical Dependency Program, Inc | 3807 E Lancaster Ave, Fort Worth, TX 76103-3522 | Professional Counselor | 2007-05-11 |
| Vicksburg Hb Medical Services LLC · Merit Health Vicksburg | 2100 Highway 61 N, Vicksburg, MS 39183-8211 | Hospitalist Physician | 2023-07-25 |
| Merit Independent Physician Association LLC · Merit Ipa | 413 W Montgomery Cross Rd Ste 602, Savannah, GA 31406-3396 | Specialist | 2013-10-02 |
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Dataset Information
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
Dataset Details
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).
All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).
Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.
This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.
