Active NPI
Posavanike S Ganaraj, M.D.
- Family Medicine Physician
- Tylertown, MS
National Provider Identifier
1003996281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 07415
- Practice address
- 250 Hospital Dr
Tylertown, MS 39667-2020 - Phone
- (601) 876-4961
- Fax
- (601) 876-9172
- NPI assigned
- Oct 16, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 07415 | MS | Primary |
| Clinic/Center | 261Q00000X | 07415 | MS |
Addresses
Primary practice location
250 Hospital Dr
Tylertown, MS 39667-2020
Mailing address
250 Hospital Dr
PO Box465
Tylertown, MS 39667-2020
Phone (601) 876-4961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tylertown Surgical Associates | Clinic/Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Tylertown, MS
- NPI 1114030129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1003996281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 HOSPITAL DR",
"address_2": "PO BOX465",
"city": "TYLERTOWN",
"state": "MS",
"postal_code": "396672020",
"telephone_number": "601-876-4961",
"fax_number": "601-876-9172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 HOSPITAL DR",
"city": "TYLERTOWN",
"state": "MS",
"postal_code": "396672020",
"telephone_number": "601-876-4961",
"fax_number": "601-876-9172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANARAJ",
"first_name": "POSAVANIKE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "07415",
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MS",
"license": "07415",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tylertown, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.