Heal All Wound Care LLC
Organization Active NPI Adult Health Nurse Practitioner · Flowood, MS
NPI 1093554982 · NPPES record last updated Feb 19, 2026
Key facts
- NPI
- 1093554982
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- Legal business name
- HEAL ALL WOUND CARE LLC
- Practice address
- 660 Lakeland East Dr Ste 210
Flowood, MS 39232-9777 - Phone
- (601) 665-4162
- Fax
- (855) 830-3484
- NPI assigned
- May 21, 2024
- Organization subpart
- No
Authorized official
- Name
- Mr. John C Duke
- Title
- Coo
- Phone
- (016) 665-4162
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 2
Practitioners 35
-
Rebecca L Cauthen, ACNP
-
Alexis Christian, APRN
-
Courtney Jeffus, FNP
-
Christy Lee, AGACNP-BC
-
Lameka Q Miller, FNP
-
April Melanie Sylvia, APRN
-
Lauri Garrett, NP-C
-
Cassandra Amos- Johnson, FNP-C
-
Yolanda M Bush, FNP
-
Charisma T. Cummings, PCNP
-
Tasha Nicole Dampier, FNP
-
Roxane Theresa Moncure, AGNP
-
Chermal Rondell Moore, NURSE PRACTITIONER
-
Tanga Robinson, FNP-C
-
Stephanie Roe, FNP-C
-
Marion Stacie Sammons, NP-C
-
Tracey Nicole Skelton, FNP-C
-
Kristina Denise Vaughn, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MS, LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240620002989 | MS | Part B Supplier - Clinic/Group Practice | 8123561966 |
Receives reassigned benefits from 30 practitioners Practice locations: Flowood, MS |
| O20250509000875 | LA | Part B Supplier - Clinic/Group Practice | 8123561966 |
Receives reassigned benefits from 14 practitioners Practice locations: Vidalia, LA |
National Provider Directory
- Tax ID family
- Heal All Wound Care LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Health Nurse Practitioner |
363LA2200X | Yes |
Addresses
Primary practice location
660 Lakeland East Dr Ste 210
Flowood, MS 39232-9777
Mailing address
660 Lakeland East Dr Ste 210
Flowood, MS 39232-9777
Phone (601) 665-4162
Other providers in Flowood, MS
- Hattiesburg Clinic, PA
- Cynthia Haynes
- Tara Hays
- Head & Neck Surgical Group
- Devin Dement Headley
- Healing Pathways Counseling, LLC
- Health Solutions Plus LLC.
- Anaston Claire Hearn
- Daena Hearon
- Cynthia Hearst-Turner
All providers in Flowood, MS · Adult Health Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.