HERITAGE OBSTETRICS & GYNECOLGY CLINIC OF NM PA
NPI 1407867807
Specialist in Tupelo, MS

Q: What is Heritage Obstetrics & Gynecolgy Clinic Of Nm PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since August 10, 2006

606 BRUNSON DR, TUPELO, MS 38801(662) 840-4010(662) 840-9038 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Heritage Obstetrics & Gynecolgy Clinic Of Nm Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERITAGE OBSTETRICS & GYNECOLGY CLINIC OF NM PA (NPI 1407867807) is a healthcare organization registered as a specialist in Tupelo, Mississippi and active in the NPI registry since August 2006. The organization lists Gregg A Willis, President, as its authorized official.

NPPES Registry Identity

NPI1407867807

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameHERITAGE OBSTETRICS & GYNECOLGY CLINIC OF NM PA

Location Address606 BRUNSON DRTupelo, MS 38801-4947

Mailing Address606 Brunson DrTupelo, MS 38801-4947 · (662) 840-4010 · Fax (662) 840-9038

Phone(662) 840-4010

Fax(662) 840-9038

Organization SubpartNo

Authorized OfficialGregg A WillisPresident · (662) 840-4010

Enumeration DateAugust 10, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1407867807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MS · 207V00000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

606 BRUNSON DR, Tupelo, MS 38801

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Other Identifiers 1

Medicaid05453772MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEODY CAIBIGAN BAUTISTA M.D.

Obstetrics & Gynecology

606 BRUNSON DR
TUPELO, MS 38801

Lee County (662) 840-4010

MRS. CHERI HARBOUR MS,OTR/L, SCLV

Occupational Therapist

606 BRUNSON DR
TUPELO, MS 38801

Lee County (662) 377-3340

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 Heritage Obstetrics & Gynecolgy Clinic Of Nm PA's NPI number?

The NPI number for Heritage Obstetrics & Gynecolgy Clinic Of Nm PA is 1407867807. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is Heritage Obstetrics & Gynecolgy Clinic Of Nm PA located?

Heritage Obstetrics & Gynecolgy Clinic Of Nm PA is located at 606 Brunson Dr, Tupelo, MS 38801. The listed phone number is (662) 840-4010.

What is Heritage Obstetrics & Gynecolgy Clinic Of Nm PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Heritage Obstetrics & Gynecolgy Clinic Of Nm PA was last updated on August 22, 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.