HEARTSOUTH PLLC (NPI# 1316967219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316967219 |
| Entity Type | Organization |
| Organization Name | HEARTSOUTH PLLC |
| Practice Address |
4 Willow Pointe Suite 50 Hattiesburg MS 39402 |
| Practice Telephone | 6012963070 |
| Practice Fax Number | 6012963087 |
| Mailing Telephone | 6012963070 |
| Mailing Fax Number | 6012963087 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2010-11-04 |
| Authorized Official Name | DR. FISHER ALAN COVIN (CEO) |
| Authorized Official Telephone | 6012963070 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 15293 | MS | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
4 WILLOW POINTE SUITE 50 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770528713 | John R Lovejoy | Internal Medicine | 6813 Hwy 98 West, Hattiesburg, MS 39402 | 2006-06-16 |
| 1184665580 | Fisher Alan Covin | Internal Medicine | 5003 Hardy St Ste 200, Hattiesburg, MS 39402-1331 | 2006-06-09 |
| 1558593764 | Heartcare of Southern Mississippi | Internal Medicine | 200 Hospital Dr W, Hattiesburg, MS 39402-1346 | 2009-08-20 |
| 1487841847 | Wissam Khattar Mechleb | Internal Medicine | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2007-10-01 |
| 1295931145 | Viral Lathia | Internal Medicine | 5003 Hardy St Ste 200, Hattiesburg, MS 39402-1331 | 2007-06-26 |
| 1568545176 | Benjamin T Rester | Internal Medicine | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-10-24 |
| 1568559813 | Hattiesburg Clinic Pa | Internal Medicine | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-10-06 |
| 1952409609 | Craig Andrew Thieling | Internal Medicine | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-09-20 |
| 1588773774 | Thad F Waites | Internal Medicine | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-08-30 |
| 1598875304 | Robert G Wilkins | Internal Medicine | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-08-30 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on HEARTSOUTH PLLC.
| 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.