GEOFFREY B HARTWIG


Address: 415 S 28th Ave, Hattiesburg, MS 39401-7246
Phone: 6012685620

GEOFFREY B HARTWIG (NPI# 1235141888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235141888
Entity Type Individual
Full Name GEOFFREY B HARTWIG
Credential MD
Practice Address 415 S 28th Ave
Hattiesburg
MS 39401-7246
Practice Telephone 6012685620
Practice Fax Number 6012685851
Mailing Telephone 6015795463
Mailing Fax Number 6015795240
Enumeration Date 2006-08-12
Last Update Date 2015-01-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084S0012X Psychiatry & Neurology
Specialization: Sleep Medicine
09059 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RAILROAD MEDICARE 409113663 01
LA 1589586 05
MS 00019370 05
MS AMERICAN ADMIN GROUP 1558946 01

Office Location

Street Address 415 S 28TH AVE
City HATTIESBURG
State MS
Zip Code 39401-7246

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225030372 Norman Blake Moore Jr. Nurse Anesthetist, Certified Registered 415 S 28th Ave, Hattiesburg, MS 39401-7246 2005-06-01
1457950842 Tyler Griffin Armstrong Nurse Anesthetist, Certified Registered 415 S 28th Ave, Hattiesburg, MS 39401-7246 2020-10-19
1538776679 Hattiesburg Clinic, Pa Clinic/Center 415 S 28th Ave, Hattiesburg, MS 39401-7246 2020-09-23
1205446804 Robert Price Ledbetter Perfusionist 415 S 28th Ave, Hattiesburg, MS 39401-7246 2020-08-07
1972143626 Jarrod Edward Gant Nurse Practitioner 415 S 28th Ave, Hattiesburg, MS 39401-7283 2020-01-10
1720625841 Corey Lyle Gambrell Nurse Anesthetist, Certified Registered 415 S 28th Ave, Hattiesburg, MS 39401-7246 2019-12-09
1447802103 Heather Pritchett Bassi Nurse Practitioner 415 S 28th Ave, Hattiesburg, MS 39401-7246 2019-07-12
1891357588 Dylan Winston Boyd Nurse Practitioner 415 S 28th Ave, Hattiesburg, MS 39401-7246 2019-07-02
1578124186 Casie Barnes Nurse Practitioner 415 S 28th Ave, Hattiesburg, MS 39401-7246 2019-06-25
1992364491 Stacy Louise Neames Nurse Practitioner 415 S 28th Ave, Hattiesburg, MS 39401-7283 2019-06-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598315863 Lisa Thornton Technician 18 Timberline Dr., Hattiesburg, MS 39401 2019-09-18
1548813637 Caroline Estes Barnes Counselor Barnes, 8 App Slade Road, Hattiesburg, MS 39401 2019-07-18
1396252441 Selection Healthcare Services, LLC In Home Supportive Care 606 Adeline St Ste 1c, Hattiesburg, MS 39401 2018-01-10
1225545585 Whitney Wilkinson Nurse Practitioner 301 South 28th Avenue, Hattiesburg, MS 39401 2018-01-08
1740795806 Forrest General Hospital Pharmacy 1414 South 28th Avenue, Hattiesburg, MS 39401 2017-12-11
1275058455 Casey Payne Pharmacist 6130 Us 49, Hattiesburg, MS 39401 2017-08-08
1225562705 Sarah Marie Hudson Family Medicine 6051 Us Highway 49 S, Hattiesburg, MS 39401 2017-04-12
1043671704 The Covington's Cove Assisted Living Center LLC Assisted Living Facility 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 2016-03-09
1780083626 Dominique Reed Watson Pharmacist 602 Adeline St, Hattiesburg, MS 39401 2014-08-15
1558778936 Willie Davis Jr. Day Training, Developmentally Disabled Services 701 Duke Ave., Hattiesbiurg, MS 39401 2014-07-17
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Taxonomy Information

Taxonomy Code 2084S0012X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Sleep Medicine

Taxonomy Definition

A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336212554 Krishna Rao Nalluri Psychiatry & Neurology 10051 Lorraine Rd, Suite B, Gulfport, MS 39503-6001 2006-11-16
1316010598 Neuroscience Institute of The Gulf Coast Pllc Psychiatry & Neurology 1110 Broad Ave Ste 600, Gulfport, MS 39501-8908 2006-11-16
1386725570 Sagar H Patel Psychiatry & Neurology 1920 Dunbarton Dr, Jackson, MS 39216-5001 2006-10-17
1184798993 Sydney A Smith Psychiatry & Neurology 1110 Broad Ave Ste 600, Gulfport, MS 39501-8908 2006-11-20

Competitor

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City HATTIESBURG
Zip Code 39401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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