DR. JUDY GEARHART M.D. NPI 1780770883

NPI Information

  • NPI: 1780770883
  • Provider Name: DR. JUDY GEARHART, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 878 LAKELAND DR
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 984-6800

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NPI Details

DR. Judy Gearhart, M.D. is a family medicine in Jackson, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Judy Gearhart, M.D. NPI is 1780770883. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

878 LAKELAND DR
JACKSON, MS
ZIP 39216-644
Phone: (601) 984-6800
Fax: (601) 984-6811

The enumeration date for this NPI number is 10/5/2006 and was last updated on 2/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine09122MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D73524MEDICARE UPINMISSISSIPPI
2512I080020MEDICARE PINMISSISSIPPI
3P00641631OTHERMISSISSIPPIRR MEDICARE
4080002170MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI
5302I088818MEDICARE PINMISSISSIPPI
6080105953MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPIRAILROAD
70112688MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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