Healthyconnect Primary Care of Mississippi LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HEALTHYCONNECT PRIMARY CARE OF MISSISSIPPI LLC

Practice address

1880 Lakeland Dr Ste E
Jackson, MS 39216-4916

Phone

(601) 914-2109

NPI assigned

Jun 4, 2024

Last updated

Apr 2, 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

Fred Burris

Title

Cfo

Phone

(813) 334-7442

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 4

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.

• Kimberly La'Tette Campbell, NP

  • Family Nurse Practitioner
  • Biloxi, MS
  • NPI 1770221640
  Medicare reassignment NPD
• Jessica April Garner, CRNP

  • Family Nurse Practitioner
  • Magee, MS
  • NPI 1982913729
  Medicare reassignment NPD
• Wendy L Hughes, FNP-C

  • Family Nurse Practitioner
  • Macon, GA
  • NPI 1518035377

  MS

  Medicare reassignment NPD
• Kelly Elizabeth Taylor, ANP

  • Adult Health Nurse Practitioner
  • Demorest, GA
  • NPI 1326388430
  NPD (past)

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1770324659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LAKELAND DR STE E",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LAKELAND DR STE E",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164916",
            "telephone_number": "601-914-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHYCONNECT PRIMARY CARE OF MISSISSIPPI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-334-7442"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthtech Behavioral Health Center
• Healthy Eyes Family Vision Center LLC
• Healthy Path Doc, LLC
• Healthy You Chiropractic and Rehabilitation Center
• Healthyconnect of Mississippi PLLC
• Mary Elizabeth Heard, DNP, CRNA
• Elizabeth Hearn
• Rachel P Hearst, N.P.
• Heart Associates of Central Ms
• Heart of Hospice, LLC

• Internal Medicine Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.