Posavanike S Ganaraj, M.D.
Individual provider Active NPI Family Medicine Physician · Tylertown, MS
NPI 1003996281 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1003996281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 07415 (MS)
- Practice address
- 250 Hospital Dr
Tylertown, MS 39667-2020 - Phone
- (601) 876-4961
- Fax
- (601) 876-9172
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tylertown Surgical Associates | Clinic/Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 07415 | MS | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09016259 | Medicaid | MS |
Other providers in Tylertown, MS
- Family Health Care Clinic, Inc.
- Family Health Care Clinic, Inc.
- Family Health Care Clinic, Inc.
- Family Medicine Associates, PA
- Yolanda Fortenberry
- Shuwanda Nicole Gatlin
- Harish M. Madnani M.D.P.C
- Hattiesburg Clinic, PA
- Chelsea Hill
- Carol Hobgood
All providers in Tylertown, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.