Highland Community Clinic Network

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HIGHLAND COMMUNITY CLINIC NETWORK

Practice address

1702 Highway 11 N
Picayune, MS 39466-2016

Phone

(601) 798-4711

NPI assigned

Feb 9, 2009

Organization subpart

No

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

Authorized official

Name

Bryan Stevens

Title

Cfo

Phone

(601) 749-3119

Specialties & licenses 1

Addresses

Other identifiers 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Forrest County General Hospital

  dba Highland Pediatric and Primary Care RHC

  • Family Medicine Physician
  • Picayune, MS
  • NPI 1922574425

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1942449368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 GOODYEAR BLVD",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663221",
            "telephone_number": "888-447-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 HIGHWAY 11 N",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662016",
            "telephone_number": "601-798-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND COMMUNITY CLINIC NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-749-3119"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE",
            "identifier": "DP4385",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07620530",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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
• Jordyn Mitchell Holston

• Family Medicine Physician in Picayune, MS
• Providers in Picayune, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.