Heartland Family Medical

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HEARTLAND FAMILY MEDICAL

Practice address

130 W Van Dorn Ave
Holly Springs, MS 38635-2902

Phone

(662) 274-3212

Fax

(662) 274-3213

NPI assigned

Nov 13, 2019

Last updated

Apr 3, 2020By 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

Mr. Tracy Scott, FNPNPI 1760921696

Title

Owner

Phone

(662) 274-3212

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 7

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.

• Tracy A Scott, FNP-C

  • Nurse Practitioner
  • Byhalia, MS
  • NPI 1760921696

  Family

  Medicare reassignment Care Compare group NPD Authorized official
• Brooke May, NP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1235532391

  MS

  Medicare reassignment Care Compare group NPD
• Darlene Johnson

  • Family Nurse Practitioner
  • Byhalia, MS
  • NPI 1285233452

  Single Specialty

  Medicare reassignment NPD
• Jennifer Gail Ross, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Worcester, MA
  • NPI 1164083747

  MS

  Medicare reassignment NPD
• Ivy Lynn Spradling, FNP

  • Family Nurse Practitioner
  • Byhalia, MS
  • NPI 1750239372
  Medicare reassignment
• Shaun Laughlin Helmhout, M.D.

  • Family Medicine Physician
  • Oxford, MS
  • NPI 1851308480
  NPD
• Nidal Rahal, M.D.

  • Family Medicine Physician
  • Germantown, TN
  • NPI 1235106154
  NPD (past)

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1376188391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W VAN DORN AVE",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386352902",
            "telephone_number": "662-274-3212",
            "fax_number": "662-274-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W VAN DORN AVE",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386352902",
            "telephone_number": "662-274-3212",
            "fax_number": "662-274-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND FAMILY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-274-3212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04274797",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hawkins Family Medicine, PLLC
• Hawkins Family Medicine, PLLC
• Annette Howell Hawkins, M.ED
• Cassandra Hawkins, MD
• Healthstat on-Site Parker Hannifan Holly Springs
• Glenda J Hendrix-Rayfield, NP
• Doris Marie Hervey, LMSW
• Holly Springs Eyecare PLLC (Magnolia Eye Group)
• Holly Springs Family Medical LLC
• Holly Springs Rehabilitation and Healthcare Center, LLC

• Family Nurse Practitioner in Holly Springs, MS
• Providers in Holly Springs, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.