NPIMap

Organization Active NPI

Highland Community Hospital Physicians

  • Obstetrics & Gynecology Physician
  • Picayune, MS
National Provider Identifier
1275887499
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
HIGHLAND COMMUNITY HOSPITAL PHYSICIANS
Practice address
146 Highland Parkway
Picayune, MS 39466-5574
Phone
(601) 358-9400
Fax
(601) 358-9421
NPI assigned
Nov 9, 2012
Last updated
Apr 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Sheree Jenkins
Title
Director of Revenue Systems
Phone
(601) 288-1890

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Obstetrics & Gynecology Physician 207V00000X Primary
Vascular Surgery Physician 2086S0129X
Urology Physician 208800000X

Addresses

Primary practice location

146 Highland Parkway
Picayune, MS 39466-5574

Mailing address

146 Highland Pkwy
Picayune, MS 39466-5575
Phone (601) 358-9400

Other names 1

  • Highland Community Hospital Physicians Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130308000320 MS Part B Supplier - Clinic/Group Practice 5193970523 Receives reassigned benefits from 21 practitioners
Practice locations: Picayune, MS

National Provider Directory

National Provider Directory
Tax ID family
Forrest Cty Gen Hosp41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Member of 1

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

Locations

128 Highland Pkwy
Ste 201
Picayune, MS 39466

146 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9765

146 Highland Pkwy
Ste 202
Picayune, MS 39466

146 Highland Pkwy
Ste C
Picayune, MS 39466
Phone (601) 358-9765

409 Carroll St
Picayune, MS 39466
Phone (601) 749-0862

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1275887499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 HIGHLAND PKWY",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394665575",
            "telephone_number": "601-358-9400",
            "fax_number": "601-358-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 HIGHLAND PARKWAY",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394665574",
            "telephone_number": "601-358-9400",
            "fax_number": "601-358-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND COMMUNITY HOSPITAL PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "SHEREE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE SYSTEMS",
        "authorized_official_telephone_number": "601-288-1890"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Community Hospital Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Highland Community Hospital Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Highland Community Hospital Physicians",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Picayune, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.