Palliative Care at Heart, LLC

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

Legal business name

PALLIATIVE CARE AT HEART, LLC

Practice address

1675 Lakeland Dr Ste 407
Jackson, MS 39216-4845

Phone

(662) 350-0830

Fax

(769) 208-4512

NPI assigned

Jul 15, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicholas Gachassin III

Title

Executive Vice President

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Palliative Care at Heart, LLC

  • Nurse Practitioner
  • Fort Smith, AR
  • NPI 1124589536

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1083222004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 LAKELAND DR STE 407",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164845",
            "telephone_number": "662-350-0830",
            "fax_number": "769-208-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLIATIVE CARE AT HEART, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Paige-Brown
• Pain Management Consultants PLLC
• Charles Christian Paine II, M.D.
• Elizabeth Rickman Paine, M.D.
• Hugo Palacios Vazquez, MD
• Palliative Healthcare
• Logan Palliser
• Dondria Palmer, RN
• Erica Palmer, LMT
• Isaac Palmer, PHARMD

• Hospice and Palliative Medicine (Family Medicine) Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.