MR. THOMAS MALONEY HARKINS III NP
NPI 1184574451
Nurse Practitioner - Gerontology in Jackson, MS

Active since January 28, 2026PECOS EnrolledAccepts Medicare Assignment
971 LAKELAND DR STE 657, JACKSON, MS 39216(601) 200-2780(601) 200-2788 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Thomas Maloney Harkins Iii Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THOMAS MALONEY HARKINS III NP (NPI 1184574451) is an individual gerontology provider in Jackson, Mississippi, licensed in Mississippi (908143) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1184574451
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameMR. THOMAS MALONEY HARKINS IIICredential: NP
Location Address971 LAKELAND DR STE 657Jackson, MS 39216-4608
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (601) 200-2780 · Fax (225) 765-9196
Fax(601) 200-2788
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 28, 2026
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
NPI 1184574451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MS · 908143
Also ListedNurse PractitionerTaxonomy 363L00000X · License 908143 (MS)
971 LAKELAND DR STE 657, Jackson, MS 39216

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Thomas Maloney Harkins Iii Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274015102
PECOS Enrollment IDI20260301000013
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
971 LAKELAND DR STE 657
JACKSON, MS 39216
Thoracic Surgery (Cardiothoracic Vascular Surgery)
971 LAKELAND DR STE 657
JACKSON, MS 39216
Physician Assistant
971 LAKELAND DR STE 657
JACKSON, MS 39216
Physician Assistant
971 LAKELAND DR STE 657
JACKSON, MS 39216
Thoracic Surgery (Cardiothoracic Vascular Surgery)
971 LAKELAND DR STE 657
JACKSON, MS 39216
Surgery
971 LAKELAND DR STE 657
JACKSON, MS 39216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Harkins's NPI number?

The NPI number for Thomas Harkins is 1184574451. It was assigned to this individual provider in the NPPES registry on January 28, 2026.

Where is Thomas Harkins located?

Thomas Harkins practices at 971 Lakeland Dr Ste 657, Jackson, MS 39216. The listed phone number is (601) 200-2780.

What is Thomas Harkins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Thomas Harkins enrolled in Medicare?

Yes. Thomas Harkins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Thomas Harkins affiliated with any hospitals?

According to CMS data, Thomas Harkins is affiliated with St Dominic-Jackson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Harkins was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.