Individual provider Active NPI

Heather Phillips Silverii, FNP

  • Nurse Practitioner
  • Brandon, MS
National Provider Identifier
1689289464
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
903199 Issued in MS
Practice address
501 Avalon Way Ste C
Brandon, MS 39047-7500
Phone
(601) 992-9790
NPI assigned
Sep 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 903199 MS Primary

Addresses

Primary practice location

501 Avalon Way Ste C
Brandon, MS 39047-7500

Mailing address

4701 Lakeland Dr Apt 18B
Flowood, MS 39232-9790
Phone (601) 757-6751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201022004008 MS Practitioner - Nurse Practitioner 3678993094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Medical Consultants LLCGroup PAC ID 9830496314, 19 clinicians
Exceed Physical Therapy, LLCGroup PAC ID 8123378338, 72 clinicians

Practice addresses (Care Compare)

108 Four Lane Hwy 49
Bentonia, MS 39040-9433
Phone (662) 998-8900

12261 Hwy 49
Suite 1
Gulfport, MS 39503-2976
Phone (228) 265-7185

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Jan 1, 2023 Accepting new patients
Southern Medical Consultants LLC CurrentSince Sep 29, 2020 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155

255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163

108 Four LN Hwy 49
Bentonia, MS 39040
Phone (662) 998-8900

501 Avalon Way
Ste C
Brandon, MS 39047
Phone (601) 573-7012

7048 Old Canton Rd
Ste 2E
Ridgeland, MS 39157
Phone (601) 919-0972

Organizations & group practices 4

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 2

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": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1689289464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 LAKELAND DR APT 18B",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329790",
            "telephone_number": "601-757-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 AVALON WAY STE C",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477500",
            "telephone_number": "601-992-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERII",
        "first_name": "HEATHER",
        "middle_name": "PHILLIPS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "903199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

Verify at the official NPI Registry.