Organization Active NPI

Magriss PLLC

  • Internal Medicine Physician
  • Southaven, MS
National Provider Identifier
1013867167
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MAGRISS PLLC
Practice address
391 Southcrest Cir Ste 209
Southaven, MS 38671-6734
Phone
(662) 208-6234
Fax
(662) 208-6235
NPI assigned
Jan 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Srinivasa Varma Jampana, MDNPI 1548491673
Title
MD/Owner
Phone
(412) 996-3369

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

391 Southcrest Cir Ste 209
Southaven, MS 38671-6734

Mailing address

391 Southcrest Cir Ste 209
Southaven, MS 38671-6734
Phone (662) 208-6234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260309001993 MS Part B Supplier - Clinic/Group Practice 2365925302 Receives reassigned benefits from 2 practitioners
Practice locations: Southaven, MS
O20260319001594 TN Part B Supplier - Clinic/Group Practice 2365925302 Receives reassigned benefits from 3 practitioners
Practice locations: Germantown, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2342913Magriss PLLC391 Southcrest Circle, Suite 209, Southaven, MS 38671Certificate of waiverApr 27, 2028

National Provider Directory

National Provider Directory

Locations

391 Southcrest Cir
Ste 209
Southaven, MS 38671
Phone (662) 208-6234

7695 Poplar Pike
Ste 202
Germantown, TN 38138
Phone (662) 208-6234

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1013867167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 SOUTHCREST CIR STE 209",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716734",
            "telephone_number": "662-208-6234",
            "fax_number": "662-208-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 SOUTHCREST CIR STE 209",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716734",
            "telephone_number": "662-208-6234",
            "fax_number": "662-208-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGRISS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "JAMPANA",
        "authorized_official_first_name": "SRINIVASA",
        "authorized_official_middle_name": "VARMA",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "412-996-3369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.