HEALTHYCONNECT PRIMARY CARE OF MISSISSIPPI NPI 1770324659

NPI Information

  • NPI: 1770324659
  • Provider Name: HEALTHYCONNECT PRIMARY CARE OF MISSISSIPPI
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 1880 LAKELAND DR STE E
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 914-2109
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NPI Details

HEALTHYCONNECT PRIMARY CARE OF MISSISSIPPI is an internal medicine in Jackson, MS. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. HEALTHYCONNECT PRIMARY CARE OF MISSISSIPPI NPI is 1770324659. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1880 LAKELAND DR STE E
JACKSON, MS
ZIP 39216-916
Phone: (601) 914-2109

The provider's authorized official is Fred Burris .
The authorized official title is Cfo and has the following contact phone number (813) 334-7442.

The enumeration date for this NPI number is 6/4/2024 and was last updated on 6/4/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineYes

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: 6/30/2024

NPI Synchronization or Removal

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