Provider Type Icon

HEARTSOUTH PLLC NPI 1316967219


NPI Information

NPI: 1316967219
Provider Name: HEARTSOUTH PLLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
4 WILLOW POINTE
SUITE 50
HATTIESBURG, MS
ZIP 39402
Phone: (601) 296-3070
Get Directions

HEARTSOUTH PLLC is a cardiovascular disease internal medicine in Hattiesburg, MS. The provider is 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. HEARTSOUTH PLLC NPI is 1316967219. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4 WILLOW POINTE
SUITE 50
HATTIESBURG, MS
ZIP 39402
Phone: (601) 296-3070
Fax: (601) 296-3087

The provider's authorized official is Fisher Alan Covin .
The authorized official title is Ceo and has the following contact phone number (601) 296-3070.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 11/4/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine15293MISSISSIPPINo
2207W00000XOphthalmologyNo
32084N0400XPsychiatry & NeurologyNeurologyNo
4207Q00000XFamily MedicineNo
5363LA2100XNurse PractitionerAcute CareNo
6363A00000XPhysician AssistantNo
7363LF0000XNurse PractitionerFamilyNo
82084S0012XPsychiatry & NeurologySleep MedicineNo
9363L00000XNurse PractitionerNo
10207RC0000XInternal MedicineCardiovascular DiseaseYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.