HEALTH HEROES OF MISSISSIPPI, CORP (NPI# 1851948244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851948244 |
| Entity Type | Organization |
| Organization Name | HEALTH HEROES OF MISSISSIPPI, CORP |
| Other Organization Name | HEALTH HEROES OF MISSISSIPPI |
| Practice Address |
768 Avery Blvd N Ridgeland MS 39157-5219 |
| Mailing Address |
1998 W Fort Toulouse Rd Wetumpka AL 36093-1117 |
| Practice Telephone | 6014876482 |
| Mailing Telephone | 3345585446 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-11-13 |
| Authorized Official Name | BESTOR WYNNE COLEMAN (PRESIDENT) |
| Authorized Official Telephone | 3345585446 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Health Heroes of Mississippi | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Health Heroes of Mississippi, Corp. | 205 Prairie Street N, Union Springs, AL 36089 |
| Street Address |
768 AVERY BLVD N |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-5219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821103920 | Quinn Healthcare,pllc | Dermatology | 768 Avery Blvd N, Ridgeland, MS 39157-5219 | 2006-08-20 |
| 1003465352 | Ebonique Martin | Nurse Practitioner | 768 Avery Blvd N, Ridgeland, MS 39157-5219 | 2019-09-10 |
| 1720631161 | Lameka Q Miller | Nurse Practitioner | 768 Avery Blvd N, Ridgeland, MS 39157-5219 | 2019-07-23 |
| 1730741810 | Annie B Marshall | Nurse Practitioner | 768 Avery Blvd N, Ridgeland, MS 39157-5219 | 2019-06-28 |
| 1588124473 | Katherine Elizabeth Taylor | Nurse Practitioner | 768 Avery Blvd N, Ridgeland, MS 39157-5219 | 2019-03-25 |
| 1336635812 | Kecia Lasonia Palmer | Nurse Practitioner | 768 Avery Blvd N, Ridgeland, MS 39157-5219 | 2018-07-08 |
| 1083106116 | Michelle Hughes | Nurse Practitioner | 768 Avery Blvd N, Ridgeland, MS 39157-5219 | 2018-06-04 |
| 1619424330 | Kishina Shontrell Sanders | Nurse Practitioner | 768 Avery Blvd N, Ridgeland, MS 39157-5219 | 2016-09-10 |
| 1982080602 | Alisha Belawn Mcarthur Wilkes | Nurse Practitioner | 768 Avery Blvd N, Ridgeland, MS 39157-5219 | 2015-08-04 |
| 1467680546 | Dermatology Consultants, Pllc | Clinic/Center | 768 Avery Blvd N, Ridgeland, MS 39157-5219 | 2009-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| Taxonomy Code | 2080P0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Allergy/Immunology |
| A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871690180 | Linda Gesina Schmidt | Pediatrics | 5903 Ridgewood Rd Ste 430, Jackson, MS 39211-3702 | 2006-09-20 |
| 1942358213 | Upa Pllc Div of Allergy | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2007-01-05 |
| 1033219068 | Sitesh Ranen Roy | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-09-22 |
| 1437195633 | Anne B. Yates | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-22 |
Please comment or provide details below to improve the information on HEALTH HEROES OF MISSISSIPPI, CORP.
| 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.