NPIMap

Organization Active NPI

Hands of Purpose Health and Wellness LLC

Doing business as Hand of Purpose

  • Primary Care Clinic/Center
  • McComb, MS
National Provider Identifier
1164085809
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HANDS OF PURPOSE HEALTH AND WELLNESS LLC
Doing business as
Hand of Purpose
Practice address
220 W Georgia Ave
McComb, MS 39648-3222
Phone
(601) 324-3057
Fax
(601) 980-0360
NPI assigned
Apr 18, 2019
Last updated
Apr 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Authorized official

Name
Coeva Barnes Gatlin, FNP-BCNPI 1548763980
Title
Provider/Owner
Phone
(601) 324-3057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

220 W Georgia Ave
McComb, MS 39648-3222

Mailing address

220 W Georgia Ave
McComb, MS 39648-3222
Phone (601) 324-3057

Other identifiers 1

IdentifierTypeStateIssuer
87726OtherMSUNITED HEALTHCARE

Other names 1

  • Hand of Purpose Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgb1970@direct.practicefusion.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

220 W Georgia Ave
McComb, MS 39648
Phone (601) 324-3057

Interoperability endpoints

  • Direct secure messaging: cgb1970@direct.practicefusion.com

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1164085809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W GEORGIA AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483222",
            "telephone_number": "601-324-3057",
            "fax_number": "601-980-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W GEORGIA AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483222",
            "telephone_number": "601-324-3057",
            "fax_number": "601-980-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDS OF PURPOSE HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "GATLIN",
        "authorized_official_first_name": "COEVA",
        "authorized_official_middle_name": "BARNES",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "601-324-3057",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "87726",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgb1970@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "direct email to exchange PHI securely",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "220 W Georgia Ave",
            "city": "McComb",
            "state": "MS",
            "country_code": "US",
            "postal_code": "396483222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hand of Purpose",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McComb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.