MISSISSIPPI CHILDRENS HEART CLINIC PLLC – NPI #1366042236
Pediatrics

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

MISSISSIPPI CHILDRENS HEART CLINIC PLLC is a provider located in JACKSON, MS. NPPES has assigned the NPI number 1366042236 to MISSISSIPPI CHILDRENS HEART CLINIC PLLC on October 29, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0202X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Cardiology

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 MISSISSIPPI CHILDRENS HEART CLINIC PLLC below.

NPI Profile for
MISSISSIPPI CHILDRENS HEART CLINIC PLLC

NPI Number
1366042236
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MISSISSIPPI CHILDRENS HEART CLINIC PLLC
Primary location
1190 N STATE ST STE 200
JACKSON, MS 39202-2413
Phone: (601) 965-6100 Fax:
Mailing address
PO BOX 22646
JACKSON, MS 39225-2646
Phone: (601) 944-1717 Fax:
Organization Subpart
No
Authorized Official
STEPHANIE PURVIS
OFFICE MANAGER
Phone: (601) 965-6100
Updated
Certification Date
Oct 29, 2020

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
2080P0202X
- Pediatrics / Pediatric Cardiology (Primary)

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.