Organization Active NPI

Hearts & Minds LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1578443487
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HEARTS & MINDS LLC
Practice address
405 Briarwood Dr Ste 108R
Jackson, MS 39206-3032
Phone
(601) 586-7349
NPI assigned
Sep 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Shawuanna Williams-Lewis, DNP, PMHNP-BC
Title
Owner
Phone
(601) 503-0121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

405 Briarwood Dr Ste 108R
Jackson, MS 39206-3032

Mailing address

4780 I 55 N Ste 100
Jackson, MS 39211-5583
Phone (601) 586-7349

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251223001290 MS Part B Supplier - Clinic/Group Practice 7911492368 Receives reassigned benefits from 1 practitioner
Practice locations: Byram, MS

National Provider Directory

National Provider Directory

Locations

7108 S Siwell Rd
Byram, MS 39272
Phone (601) 586-7349

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1578443487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 I 55 N STE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115583",
            "telephone_number": "601-586-7349",
            "fax_number": "601-586-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BRIARWOOD DR STE 108R",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063032",
            "telephone_number": "601-586-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTS & MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-LEWIS",
        "authorized_official_first_name": "SHAWUANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-503-0121",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "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 Sep 29, 2025; 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.