Active NPI
Health Heroes of Mississippi, Inc.
- Family Medicine Physician
- Ridgeland, MS
National Provider Identifier
1851948244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HEALTH HEROES OF MISSISSIPPI, INC.
- Practice address
- 768 Avery Blvd N
Ridgeland, MS 39157-5219 - Phone
- (205) 609-0268
- Fax
- (866) 737-9625
- NPI assigned
- Aug 21, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Liberty Duke
- Title
- President
- Phone
- (334) 220-2484
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Pediatric Allergy/Immunology Physician | 2080P0201X |
Addresses
Primary practice location
768 Avery Blvd N
Ridgeland, MS 39157-5219
Mailing address
326 Prairie Street North
Union Springs, AL 36089-1417
Phone (205) 609-0268
Other names 1
- Health Heroes of Mississippi
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://healthhero.sorrell.us/ | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717977600000",
"number": "1851948244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 PRAIRIE STREET NORTH",
"city": "UNION SPRINGS",
"state": "AL",
"postal_code": "360891417",
"telephone_number": "205-609-0268",
"fax_number": "866-737-9625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "768 AVERY BLVD N",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391575219",
"telephone_number": "205-609-0268",
"fax_number": "866-737-9625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH HEROES OF MISSISSIPPI, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-21",
"last_updated": "2024-06-10",
"status": "A",
"authorized_official_last_name": "DUKE",
"authorized_official_first_name": "LIBERTY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "334-220-2484",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080P0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://healthhero.sorrell.us/",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "768 Avery Blvd N",
"city": "Ridgeland",
"state": "MS",
"country_code": "US",
"postal_code": "391575219",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Health Heroes of Mississippi",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Health Heroes of Mississippi",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.