Individual provider Active NPI

Breanna Heard-Pinho

  • Family Medicine Physician
  • Vicksburg, MS
National Provider Identifier
1265068290
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31638 Issued in MS
Practice address
1901 Mission 66
Vicksburg, MS 39180-3711
Phone
(601) 636-1050
Fax
(601) 631-2337
NPI assigned
Mar 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31638 MS Primary

Addresses

Primary practice location

1901 Mission 66
Vicksburg, MS 39180-3711

Mailing address

1901 Mission 66
Vicksburg, MS 39180-3711
Phone (601) 636-1050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220902002916 AL Practitioner - Family Practice 6002235066 Reassigns benefits to 3 organizations
I20230602002792 MS Practitioner - Family Practice 6002235066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yazoo Emergency Group, LLCGroup PAC ID 0749511574, 19 clinicians

Practice addresses (Care Compare)

1901 Mission
Suite 66
Vicksburg, MS 39180-3711
Phone 6016360097281

823 Grand Ave
Yazoo City, MS 39194-3233
Phone (662) 746-2261

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.53 of 100Reported as group
Quality
88.1
Improvement activities
40
Cost
85.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31638MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Mobile Urgent Care Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Gmuc of Springhill LLC Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Greater Mobile Urgent Care Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Gmuc of Citronelle LLC Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Medically Heard LLC Family Medicine CurrentSince Apr 20, 2023 Accepting new patients
Yazoo Emergency Group, LLC CurrentSince Oct 14, 2024 Accepting new patients

Locations

19355 N 3rd St
Ste 104
Citronelle, AL 36522
Phone (251) 633-0123

2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123

4402 Old Shell Rd
Mobile, AL 36608
Phone (251) 633-0123

1114 Shelton Beach Rd
Saraland, AL 36571
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618

823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1265068290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803711",
            "telephone_number": "601-636-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803711",
            "telephone_number": "601-636-1050",
            "fax_number": "601-631-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARD-PINHO",
        "first_name": "BREANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "31638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.