Candice Leigh Heavener, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

907123 Issued in MS

Practice address

24111 Highway 15
Tiplersville, MS 38674

Phone

(662) 882-3635

Fax

(662) 235-9157

NPI assigned

Aug 20, 2021

Last updated

Jul 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Tiplersville Family Medical Clinic

  • Primary Care Clinic/Center
  • Tiplersville, MS
  • NPI 1154110575
  Medicare reassignment NPD Authorized official
• Innovative Health Medical Clinic Inc.

  • Family Medicine Physician
  • Middleton, TN
  • NPI 1639729320
  NPD (past)
• Montgomery Family Health Center Inc

  dba Montgomery Family Health Center

  • Family Nurse Practitioner
  • Middleton, TN
  • NPI 1215144282
  NPD (past)

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1720754476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 COUNTY ROAD 301",
            "city": "FALKNER",
            "state": "MS",
            "postal_code": "386299321",
            "telephone_number": "662-882-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24111 HIGHWAY 15",
            "city": "TIPLERSVILLE",
            "state": "MS",
            "postal_code": "38674",
            "telephone_number": "662-882-3635",
            "fax_number": "662-235-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAVENER",
        "first_name": "CANDICE",
        "middle_name": "LEIGH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30118",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Faith Robinson
• Tiplersville Family Medical Clinic

• Family Nurse Practitioner in Tiplersville, MS
• Providers in Tiplersville, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.