Active NPI
Healthy Roots Family Clinic, LLC
- Rural Health Clinic/Center
- Natchez, MS
National Provider Identifier
1063363349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- HEALTHY ROOTS FAMILY CLINIC, LLC
- Practice address
- 114 Jefferson Davis Blvd
Ste B
Natchez, MS 39120 - Phone
- (601) 653-4581
- Fax
- (601) 653-4582
- NPI assigned
- Feb 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tina Bruce
- Title
- Ceo
- Phone
- (601) 807-3833
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
114 Jefferson Davis Blvd
Ste B
Natchez, MS 39120
Mailing address
114 Jefferson Davis Blvd Ste B
Natchez, MS 39120-5104
Phone (601) 653-4581
National Provider Directory
National Provider DirectoryLocations
114 Jefferson Davis Blvd
Ste B
Natchez, MS 39120
Phone (601) 653-4581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770163200000",
"number": "1063363349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 JEFFERSON DAVIS BLVD STE B",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391205104",
"telephone_number": "601-653-4581",
"fax_number": "601-653-4582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 JEFFERSON DAVIS BLVD",
"address_2": "STE B",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "39120",
"telephone_number": "601-653-4581",
"fax_number": "601-653-4582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY ROOTS FAMILY CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-04",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A",
"authorized_official_last_name": "BRUCE",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "601-807-3833"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Natchez, MS
- Kathy S Harvey Fitch, CRNA
- Lillie Christine Hauer, RSW, MSW
- Linda Gale Hawkins, FNP NC
- Amber Nichole Hawthorne, FNP-BC
- Healogics Specialty Physicians of Mississippi, LLC
- Heart2Heart Homecare Services, Inc.
- Hearts of Joy Home Health Services Inc
- Stacey E Heflin, MSCCCSLP
- Joseph Griffith Heglar, M.S., PCMHT
- Corinne Hegwood, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.