Healthcare Provider Details

I. General information

NPI: 1295658896
Provider Name (Legal Business Name): CONNECT CARE MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4010 OFERRAL ST
HATTIESBURG MS
39402-1613
US

IV. Provider business mailing address

4010 OFERRAL ST
HATTIESBURG MS
39402-1613
US

V. Phone/Fax

Practice location:
  • Phone: 601-545-1712
  • Fax:
Mailing address:
  • Phone: 601-323-1920
  • Fax: 601-281-7903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LINDY WINDHAM
Title or Position: OWNER
Credential:
Phone: 601-323-1920