Tiplersville Family Medical Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TIPLERSVILLE FAMILY MEDICAL CLINIC

Practice address

24111 Highway 15
Tiplersville, MS 38674

Phone

(662) 672-7527

NPI assigned

May 2, 2025

Last updated

May 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Candice Heavener, NPNPI 1720754476

Title

Provider

Phone

(662) 672-7527

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Candice Leigh Heavener, FNP-C

  • Family Nurse Practitioner
  • Tiplersville, MS
  • NPI 1720754476
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1154110575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 COUNTY ROAD 301",
            "city": "FALKNER",
            "state": "MS",
            "postal_code": "386299321",
            "telephone_number": "662-882-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24111 HIGHWAY 15",
            "city": "TIPLERSVILLE",
            "state": "MS",
            "postal_code": "38674",
            "telephone_number": "662-672-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIPLERSVILLE FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "HEAVENER",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "662-672-7527",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Leigh Heavener, FNP-C
• Rebecca Faith Robinson

• Primary Care Clinic/Center in Tiplersville, MS
• Providers in Tiplersville, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.