Individual provider Active NPI

Heather H Hager, NP

  • Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1740347483
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R867584 Issued in MS
Practice address
1850 Chadwick Dr
Jackson, MS 39204-3404
Phone
(601) 824-3977
Fax
(601) 376-1684
NPI assigned
Jan 2, 2007
Last updated
Feb 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R867584 MS Primary
Emergency Medicine Physician 207P00000X R867584 MS

Addresses

Primary practice location

1850 Chadwick Dr
Jackson, MS 39204-3404

Mailing address

3675 J Dewey Gray Cir
Suite 300
Augusta, GA 30909-1868
Phone (706) 863-9595

Other identifiers 3

IdentifierTypeStateIssuer
302I500027OtherMSMEDICARE PTAN
1036781MedicaidLA
01529099MedicaidMS

Other names 1

  • Heather H Edwards Former name

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
I20070508000268 MS Practitioner - Nurse Practitioner 4789780735 Reassigns benefits to 21 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians
George Regional ER PhysiciansGroup PAC ID 6608180138, 10 clinicians

Practice addresses (Care Compare)

4215 15TH St
Gulfport, MS 39501-2523
Phone (228) 863-5211

859 Winter St
Lucedale, MS 39452-6603
Phone (601) 947-1330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R867584MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RH Emergency Medicine of Highland Community LLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Jefferson County Hospital CurrentSince Nov 7, 2019 Accepting new patients
George Regional ER Physicians CurrentSince May 1, 2023 Accepting new patients
RH Hospitalist Medicine of Walthall General LLC CurrentSince Sep 1, 2024 Accepting new patients
Gulfport 49 Imaging, LLC CurrentSince May 9, 2021 Accepting new patients
RH Hospitalist Medicine of Jefferson Davis LLC CurrentSince Sep 1, 2024 Accepting new patients
Keystone Medical Services of Ms, Inc Emergency Medicine CurrentSince Jul 12, 2014 Accepting new patients
Community Medical Center CurrentSince May 1, 2023 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Pascagoula Urgent Care CurrentSince Sep 11, 2019 Accepting new patients
RH Emergency Medicine of Pearl River LLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Maxem Health Urgent Care Diberville CurrentSince Sep 11, 2019 Accepting new patients
RH Emergency Medicine of Walthall General LLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
RH Emergency Medicine of Jefferson Davis LLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Inpatient Physician Services CurrentSince May 1, 2023 Accepting new patients
Relias Emergency Medicine Specialists of Hattiesburg LLC Emergency Medicine CurrentSince Apr 10, 2024 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Jan 13, 2020 Accepting new patients
Greene County Family Medical Clinic CurrentSince May 1, 2023 Accepting new patients
RH Emergency Medicine of Perry County LLC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Wiggins Primary Care CurrentSince May 1, 2023 Accepting new patients
RH Hospitalist Medicine of Marion General LLC CurrentSince Sep 1, 2024 Accepting new patients
Orange Grove Urgent Care CurrentSince Sep 11, 2019 Accepting new patients
RH Emergency Medicine of Marion General LLC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Jefferson County Hospital CurrentSince Nov 7, 2019 Accepting new patients
Ocean Springs Urgent Care CurrentSince Sep 11, 2019 Accepting new patients
Memorial Hospital at Gulfport Emergency Medicine CurrentSince Jan 13, 2020 Accepting new patients
Petal Urgent Care LLC CurrentSince Nov 2, 2019 Accepting new patients
Stone County Hospital, Inc Past Accepting new patients
Trustcare Primary Care, LLC Past Accepting new patients
Mississippi Em-I Medical Services PC Nurse Practitioner Past Accepting new patients
Delta Physician Practices Past Accepting new patients
Delta Medical Group Emergency Medicine Past Accepting new patients

Locations

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

10319 Diberville Blvd
Diberville, MS 39540
Phone (228) 395-2999

870 Main St
Fayette, MS 39069
Phone (601) 786-3401

10556 Highway 49
Gulfport, MS 39503
Phone (228) 539-2399

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

4215 15th St
Gulfport, MS 39501
Phone (228) 863-5211

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

1017 Jackson Ave
Leakesville, MS 39451
Phone (601) 394-2820

859 Winter St
Lucedale, MS 39452
Phone (601) 766-4286

92 Ratliff St
#A
Lucedale, MS 39452
Phone (601) 947-4411

1514 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 382-9222

2210 Denny Ave
Pascagoula, MS 39567
Phone (228) 372-6040

1272 Evelyn Gandy Pkwy
Ste 60
Petal, MS 39465
Phone (601) 336-5393

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

305 W Moody St
Poplarville, MS 39470
Phone (601) 795-4345

1102 Rose St
Prentiss, MS 39474
Phone (601) 792-2947

206 Bay Ave
Richton, MS 39476
Phone (601) 788-6316

100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455

1434 Central Ave E
Wiggins, MS 39577
Phone (601) 928-6600

975 Hall St
Wiggins, MS 39577
Phone (601) 528-9119

Interoperability endpoints

  • Direct secure messaging: hhager@direct.mhg.com
  • FHIR API: https://api.platform.athenahealth.com/13136/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHCBA

Organizations & group practices 33

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.

View all 33

Hospital & facility affiliations 62

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

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1740347483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 J DEWEY GRAY CIR",
            "address_2": "SUITE 300",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091868",
            "telephone_number": "706-863-9595",
            "fax_number": "706-447-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 CHADWICK DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043404",
            "telephone_number": "601-824-3977",
            "fax_number": "601-376-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGER",
        "first_name": "HEATHER",
        "middle_name": "H",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R867584",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "R867584",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "302I500027",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1036781",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01529099",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "EDWARDS",
            "middle_name": "H",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.