NPIMap

Organization Active NPI

Horizon Medical Providers LLC

  • Family Medicine Physician
  • Ridgeland, MS
National Provider Identifier
1982441473
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HORIZON MEDICAL PROVIDERS LLC
Practice address
141 Township Ave Ste 107
Ridgeland, MS 39157-8697
Phone
(601) 955-5906
NPI assigned
Jul 11, 2024
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Bert Massey
Title
Managing Partner
Phone
(601) 201-3121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

141 Township Ave Ste 107
Ridgeland, MS 39157-8697

Mailing address

1000 Highland Colony Pkwy
BLDG 5000 Ste 5203
Ridgeland, MS 39157-2079
Phone (601) 201-3121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240904003964 MS Part B Supplier - Clinic/Group Practice 5496295560 Receives reassigned benefits from 10 practitioners
Practice locations: Ridgeland, MS; Carthage, MS

National Provider Directory

National Provider Directory

Locations

704 Highway 16 E
Carthage, MS 39051

141 Township Ave
Ste 107
Ridgeland, MS 39157
Phone (601) 201-3121

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1982441473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGHLAND COLONY PKWY",
            "address_2": "BLDG 5000 STE 5203",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572079",
            "telephone_number": "601-201-3121",
            "fax_number": "855-452-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 TOWNSHIP AVE STE 107",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578697",
            "telephone_number": "601-955-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON MEDICAL PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "BERT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "601-201-3121"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 6, 2024; 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.