Organization Active NPI

Vital Touch Direct Care, PLLC

  • Primary Care Clinic/Center
  • Jackson, MS
National Provider Identifier
1497697874
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
VITAL TOUCH DIRECT CARE, PLLC
Practice address
2021 Elizabeth Chapman Dr
Jackson, MS 39212-3252
Phone
(601) 906-9680
NPI assigned
Apr 7, 2026
Last updated
Apr 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Flora Denise Gray Haley, FNP-CNPI 1124902606
Title
Owner
Phone
(601) 906-9680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2021 Elizabeth Chapman Dr
Jackson, MS 39212-3252

Mailing address

PO Box 107
Raymond, MS 39154-0107
Phone (601) 906-9680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260409000798 MS Part B Supplier - Clinic/Group Practice 0648745430 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, MS

National Provider Directory

National Provider Directory

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": "1775520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1497697874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 107",
            "city": "RAYMOND",
            "state": "MS",
            "postal_code": "391540107",
            "telephone_number": "601-906-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 ELIZABETH CHAPMAN DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123252",
            "telephone_number": "601-906-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL TOUCH DIRECT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "FLORA",
        "authorized_official_middle_name": "DENISE GRAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-906-9680",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.