Organization Active NPI

Health Heroes of Mississippi, Inc.

  • Family Medicine Physician
  • Ridgeland, MS
National Provider Identifier
1851948244
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jun 10, 2024

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Pediatric Allergy/Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://healthhero.sorrell.us/ Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.