Audrey Home and Healthcare Services LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

AUDREY HOME AND HEALTHCARE SERVICES LLC

Practice address

2122 Oak Grove Rd
Hattiesburg, MS 39402-1571

Phone

(769) 353-8486

NPI assigned

Dec 11, 2025

Last updated

Mar 13, 2026By 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

Tavithia Heidelburg, NPNPI 1548768260

Title

Owner

Phone

(769) 353-8486

Specialties & licenses 1

Addresses

Other names 1

• Audrey Healthcare LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

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.

• Tavithia Heidelburg, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Brandon, MS
  • NPI 1548768260
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1730043118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390430261",
            "telephone_number": "769-353-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 OAK GROVE RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021571",
            "telephone_number": "769-353-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDREY HOME AND HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "HEIDELBURG",
        "authorized_official_first_name": "TAVITHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "769-353-8486",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audrey Healthcare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sriharsha C Athota, M.D.
• Latasha Atkins
• George Michael Atkinson, MD
• Tonya Kay Atkinson
• Daniel Attaway, DNP, CRNA
• Lauren Aultman
• Stephanie Machelle Aultman, M.S. CCC-SLP
• Twylia M. Aultman, FNP-C
• Calvin Authement, LPC
• Kasey J. Autman, LCSW

• Family Nurse Practitioner in Hattiesburg, MS
• Providers in Hattiesburg, 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 Mar 13, 2026; 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.