Organization Active NPI

Heartsouth PLLC

  • Cardiovascular Disease Physician
  • Hattiesburg, MS
National Provider Identifier
1316967219
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
HEARTSOUTH PLLC
Practice address
4 Willow Pointe
Suite 50
Hattiesburg, MS 39402
Phone
(601) 296-3070
Fax
(601) 296-3087
NPI assigned
Jul 20, 2006
Last updated
Nov 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Dr. Fisher Alan Covin, M.D.
Title
Ceo
Phone
(601) 296-3070

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Acute Care Nurse Practitioner 363LA2100X NU
Family Nurse Practitioner 363LF0000X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X 15293 MS
Cardiovascular Disease Physician 207RC0000X NU Primary
Ophthalmology Physician 207W00000X NU
Neurology Physician 2084N0400X NU
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X NU

Addresses

Primary practice location

4 Willow Pointe
Suite 50
Hattiesburg, MS 39402

Mailing address

4 Willow Pointe
Suite 50
Hattiesburg, MS 39402
Phone (601) 296-3070

National Provider Directory

National Provider Directory

Locations

1804 E Shiloh Rd
Corinth, MS 38834
Phone (662) 212-9001

4 Willow Pt
#1
Hattiesburg, MS 39402
Phone (601) 296-3070

1230 Washington St
Laurel, MS 39440
Phone (601) 296-3064

110 N Cherry St
Magnolia, MS 39652
Phone (601) 296-3070

1300 Access Rd
Oxford, MS 38655
Phone (662) 281-0112

111 Morris St
Petal, MS 39465
Phone (601) 582-7755

104 Railroad St
Poplarville, MS 39470
Phone (601) 795-4959

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2667/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1316967219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WILLOW POINTE",
            "address_2": "SUITE 50",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-296-3070",
            "fax_number": "601-296-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WILLOW POINTE",
            "address_2": "SUITE 50",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-296-3070",
            "fax_number": "601-296-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTSOUTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "COVIN",
        "authorized_official_first_name": "FISHER",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-296-3070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "15293",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.