NPIMap

Individual provider Active NPI

Heather M Anderson, PA-C

  • Medical Physician Assistant
  • Vicksburg, MS
National Provider Identifier
1679931083
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00267 Issued in MS
Practice address
2080 S Frontage Rd Ste 100
Vicksburg, MS 39180
Phone
(601) 262-1000
Fax
(601) 630-9994
NPI assigned
Feb 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00267 MS Primary

Addresses

Primary practice location

2080 S Frontage Rd Ste 100
Vicksburg, MS 39180

Mailing address

2080 S Frontage Rd Ste 100
Vicksburg, MS 39180
Phone (601) 262-1000

Other names 1

  • Miss Heather M. Duham Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160420001362 MS Practitioner - Physician Assistant 0941508246 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Vicksburg PLLCGroup PAC ID 3577782366, 8 clinicians

Practice addresses (Care Compare)

2080 S Frontage Rd
Suite 100
Vicksburg, MS 39180-5883
Phone (601) 262-1000

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Vicksburg, MS, CCN 257097
  • Adoration Home Health Home health agency, Vicksburg, MS, CCN 257103
  • Centerwell Home Health Home health agency, Flowood, MS, CCN 257126
  • Merit Health River Region Hospital, Vicksburg, MS, CCN 250031

Merit-based Incentive Payment System (MIPS)

Final score
95.2 of 100Reported as group
Quality
99.81
Improvement activities
40
Cost
72.06

Merit-based Incentive Payment System (MIPS)

Final score
42.86 of 100Reported as group
Quality
0
Improvement activities
40
Cost
74.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vicksburg Hma Physician Management LLC Current Accepting new patients
Vicksburg Hma Physician Management LLC Past Accepting new patients

Locations

2080 S Frontage Rd
Ste 100
Vicksburg, MS 39180
Phone (601) 262-1000

Interoperability endpoints

  • Direct secure messaging: heatherdunham@fed2c3c7.micromddirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1679931083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 S FRONTAGE RD STE 100",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "39180",
            "telephone_number": "601-262-1000",
            "fax_number": "601-630-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 S FRONTAGE RD STE 100",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "39180",
            "telephone_number": "601-262-1000",
            "fax_number": "601-630-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "HEATHER",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MS",
            "license": "PA00267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "DUHAM",
            "middle_name": "M.",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.