Heart Group of the Eastern Shore, P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HEART GROUP OF THE EASTERN SHORE, P.C.

Practice address

150 S. Ingleside Street
#4 Medical Park
Fairhope, AL 36532-1804

Phone

(251) 990-1920

Fax

(251) 990-1921

NPI assigned

Apr 24, 2007

Last updated

Dec 9, 2013By 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

Dr. Michael S Pursley, MDNPI 1467430777

Title

President/Owner

Phone

(251) 990-1920

Specialties & licenses 2

Addresses

Other identifiers 15

Other names 1

• Michael S. Purlsey MD PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 8

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.

• Michael S Pursley, MD

  • Specialist
  • Fairhope, AL
  • NPI 1467430777
  Medicare reassignment Care Compare group NPD Authorized official
• Michael S Charles, FNP

  • Family Nurse Practitioner
  • Fairhope, AL
  • NPI 1780292383
  Medicare reassignment Care Compare group NPD
• Savannah Gilbert

  • Family Nurse Practitioner
  • Fairhope, AL
  • NPI 1366247330
  Medicare reassignment Care Compare group NPD
• Glenn A Harris Jr., M.D.

  • Specialist
  • Fairhope, AL
  • NPI 1659478014
  Medicare reassignment Care Compare group NPD
• Andrew James Moses, M.D.

  • Cardiovascular Disease Physician
  • Pensacola, FL
  • NPI 1669765533

  AL

  Medicare reassignment Care Compare group NPD
• Elizabeth Rich Key, PA-C

  • Physician Assistant
  • Beaufort, NC
  • NPI 1619166212

  AL

  Medicare reassignment Care Compare group
• Jennifer Sykora, M.D.

  • Internal Medicine Physician
  • Fairhope, AL
  • NPI 1629208277
  NPD
• Jennifer Miller, APRN, MSN, ACNP-BC

  • Nurse Practitioner
  • Pensacola, FL
  • NPI 1871833053
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1609095157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850266",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366850266",
            "telephone_number": "251-990-1920",
            "fax_number": "251-990-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S. INGLESIDE STREET",
            "address_2": "#4 MEDICAL PARK",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321804",
            "telephone_number": "251-990-1920",
            "fax_number": "251-990-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART GROUP OF THE EASTERN SHORE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "PURSLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "251-990-1920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "25610",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936436",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936467",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP NPI",
            "identifier": "1609095157",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/MC",
            "identifier": "51503479",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE FOR GROUP",
            "identifier": "DE4413",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936433",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051554382",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05538519",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467430777",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAND NPI",
            "identifier": "1689678674",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP",
            "identifier": "K814",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP MEDICAID",
            "identifier": "529927690",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BRAND",
            "identifier": "51541652",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00082012",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936434",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael S. Purlsey MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stephanie Harrison, DC
• Fritz Roland Harshberger, D.M.D
• Aaron James Haycraft
• Health Services Diversified, Inc. (Medicap Pharmacy)
• Heart and Soul Therapy Services, LLC
• Kathleen Heath, EDD
• Madison Bennett Heflin, LPC, NCC
• Michael J Heiser, M.D.
• Kendall Wayne Helms Jr., ARNP
• Ahmet Helvacioglu, M.D.

• Clinic/Center in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.