Highland Community Clinic Network

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

19353 Issued in MS

Legal business name

HIGHLAND COMMUNITY CLINIC NETWORK

Practice address

801 Goodyear Blvd
Picayune, MS 39466-3221

Phone

(601) 726-2655

Fax

(985) 643-9808

NPI assigned

Sep 28, 2011

Last updated

Sep 28, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

HIGHLAND COMMUNITY HOSPITALAs reported in NPPES

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

Authorized official

Name

Mr. Bryan N. Stevens, CPA, FHFMA

Title

Chief Financial Officer

Phone

(601) 798-4711

Specialties & licenses 1

Addresses

Part of

Forrest Cty Gen Hosp

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1750665592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 CORPORATE SQUARE DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583147",
            "telephone_number": "985-726-2655",
            "fax_number": "985-643-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 GOODYEAR BLVD",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663221",
            "telephone_number": "601-726-2655",
            "fax_number": "985-643-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND COMMUNITY CLINIC NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGHLAND COMMUNITY HOSPITAL",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "601-798-4711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA, FHFMA"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "19353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Richardson Hesson, OTR-L
• Rodney D Hesson, PSYD
• Caroline Savannah Hickman
• Highland Center for Women's Health
• Highland Community Clinic Network
• Highland Community Clinic Network
• Highland Community Hospital Physicians
• Highland Emergency Physicians, PA
• Highland Health MD, PLLC
• Highland Pediatrics PLLC

• Obstetrics & Gynecology Physician in Picayune, MS
• Providers in Picayune, MS by specialty
• Obstetrics & Gynecology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.