WILLIE S. VAN HEERDE M.D. – NPI #1982496212
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

WILLIE VAN HEERDE is a physician located in JACKSON, MS. NPPES has assigned the NPI number 1982496212 to WILLIE VAN HEERDE on May 21, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Feb 17, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WILLIE VAN HEERDE below.

NPI Profile for
WILLIE S. VAN HEERDE

NPI Number
1982496212
Enumeration Date

(more than a year ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WILLIE S. VAN HEERDE
Credentials
M.D.
Primary location
2500 N. STATE STREET
JACKSON, MS 39216
Phone: (601) 674-1000 Fax:
Mailing address
1865 LAKELAND DR APT 108
JACKSON, MS 39216-4960
Phone: (681) 267-9708 Fax:
Sole Proprietor
No
Updated
Certification Date
Feb 17, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
MS T-5800
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.