MISSISSIPPI CHILDRENS HEART CLINIC PLLC
NPI 1366042236
Pediatrics - Pediatric Cardiology in Jackson, MS
About Mississippi Childrens Heart Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISSISSIPPI CHILDRENS HEART CLINIC PLLC (NPI 1366042236), doing business as Ms Children's Heart, is a healthcare organization registered as a pediatric cardiology in Jackson, Mississippi and active in the NPI registry since October 2020. The organization lists Stephanie Purvis, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mississippi Childrens Heart Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Mississippi Childrens Heart Clinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mississippi Childrens Heart Clinic PLLC's NPI number?
The NPI number for Mississippi Childrens Heart Clinic PLLC is 1366042236. It was assigned to this organization in the NPPES registry on October 29, 2020. The provider is doing business as MS Children's Heart.
Where is Mississippi Childrens Heart Clinic PLLC located?
Mississippi Childrens Heart Clinic PLLC is located at 1190 N State St Ste 200, Jackson, MS 39202. The listed phone number is (601) 965-6100.
What is Mississippi Childrens Heart Clinic PLLC's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Mississippi Childrens Heart Clinic PLLC enrolled in Medicare?
Yes. Mississippi Childrens Heart Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mississippi Childrens Heart Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Mississippi Childrens Heart Clinic PLLC, in Nurse Practitioner and Pediatric Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mississippi Childrens Heart Clinic PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Mississippi Childrens Heart Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mississippi Childrens Heart Clinic PLLC was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mississippi Childrens Heart Clinic Pllc · NPI 1366042236
Pediatric Cardiology organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since October 29, 2020.
## Identity
- **NPI:** 1366042236 (Entity type: Organization)
- **Enumerated:** October 29, 2020
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **Also known as:** MS Children's Heart (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Stephanie Purvis, OFFICE MANAGER
## Practice location
- **Address:** 1190 N STATE ST STE 200, Jackson, MS 39202-2413
- **Phone:** (601) 965-6100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (2), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1366042236) · Data from the CMS NPPES public registry.