Mississippi Childrens Heart Clinic PLLC
NPI 1366042236ActiveOrganization· Pediatrics, Pediatric Cardiology· Jackson, MS
Pediatrics, Pediatric Cardiology in Jackson, Mississippi, registered in NPPES in October 2020. The authorized official on file is Stephanie Purvis, OFFICE MANAGER, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366042236 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 29, 2020 |
| Last updated in NPPES | Oct 29, 2020 |
| Certified by provider | Oct 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Pediatric Cardiology Primary | 2080P0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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