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HEALTHYCONNECT PRIMARY CARE OF MISSISSIPPI LLC
NPI 1770324659
Internal Medicine in Jackson, MS

Active since June 04, 2024
1880 LAKELAND DR STE E, JACKSON, MS 39216(601) 914-2109 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 2, 2026, Jun 4, 2024 (2 updates tracked since 2024).

About Healthyconnect Primary Care Of Mississippi Llc NPPES

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

HEALTHYCONNECT PRIMARY CARE OF MISSISSIPPI LLC (NPI 1770324659) is a healthcare organization registered as an internal medicine in Jackson, Mississippi and active in the NPI registry since June 2024. The organization lists Fred Burris, Cfo, as its authorized official.

NPPES Registry Identity

NPI1770324659
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHEALTHYCONNECT PRIMARY CARE OF MISSISSIPPI LLC
Location Address1880 LAKELAND DR STE EJackson, MS 39216-4916
Mailing Address1880 Lakeland Dr Ste EJackson, MS 39216-4916
Phone(601) 914-2109
Organization SubpartNo
Authorized OfficialFred BurrisCfo · (813) 334-7442
Enumeration DateJune 4, 2024
Last NPPES UpdateApril 2, 20262 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1770324659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1880 LAKELAND DR STE E, Jackson, MS 39216
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthyconnect Primary Care Of Mississippi Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Healthyconnect Primary Care Of Mississippi LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Jessica Garner, CRNP
Nurse Practitioner
NPI 1982913729
300 3RD AVE SE
Magee, MS 39111
(601) 849-5070
✔ PECOS✔ Accepts Medicare40 mi
Kimberly Campbell, NP
Nurse Practitioner
NPI 1770221640
2650 BEACH BLVD STE 40
Biloxi, MS 39531
(305) 500-2000
✔ PECOS150 mi
Wendy Hughes, FNP-C
Nurse Practitioner
NPI 1518035377
770 PINE ST STE 100
Macon, GA 31201
(478) 919-5737
✔ PECOS381 mi

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 Healthyconnect Primary Care Of Mississippi LLC's NPI number?

The NPI number for Healthyconnect Primary Care Of Mississippi LLC is 1770324659. It was assigned to this organization in the NPPES registry on June 4, 2024.

Where is Healthyconnect Primary Care Of Mississippi LLC located?

Healthyconnect Primary Care Of Mississippi LLC is located at 1880 Lakeland Dr Ste E, Jackson, MS 39216. The listed phone number is (601) 914-2109.

What is Healthyconnect Primary Care Of Mississippi LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Healthyconnect Primary Care Of Mississippi LLC enrolled in Medicare?

Yes. Healthyconnect Primary Care Of Mississippi LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthyconnect Primary Care Of Mississippi LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Healthyconnect Primary Care Of Mississippi LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Healthyconnect Primary Care Of Mississippi LLC was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.