NPIMap

Individual provider Active NPI

Brandi Renee Garris, ACNP

  • Acute Care Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1073630307
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R853120 Issued in MS
Practice address
20 Rawls Springs Loop Rd
Hattiesburg, MS 39402-7801
Phone
(601) 582-9553
Fax
(601) 582-9553
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R853120 MS Primary

Addresses

Primary practice location

20 Rawls Springs Loop Rd
Hattiesburg, MS 39402-7801

Mailing address

20 Rawls Springs Loop Rd
Hattiesburg, MS 39402-7801
Phone (601) 582-9553

Other identifiers 2

IdentifierTypeStateIssuer
P00417383OtherMSRAILROAD MEDICARE
01755393MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070626000192 MS Practitioner - Nurse Practitioner 8022117472 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RH Hospitalist Medicine of Marion General LLCGroup PAC ID 2567815384, 8 clinicians

Practice addresses (Care Compare)

1560 Sumrall Rd
Columbia, MS 39429-2654
Phone (601) 736-6303

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RH Emergency Medicine of Marion General LLC CurrentSince Jan 1, 2024 Accepting new patients
Relias Emergency Medicine Specialists of Hattiesburg LLC CurrentSince Jun 1, 2020 Accepting new patients
Hancock Emergency Group LLC CurrentSince Jan 13, 2023 Accepting new patients
Keystone Medical Services of Ms, Inc CurrentSince Mar 22, 2014 Accepting new patients
RH Emergency Medicine of Highland Community LLC CurrentSince Feb 1, 2024 Accepting new patients
Singing River Gulfport CurrentSince Nov 1, 2022 Accepting new patients
RH Hospitalist Medicine of Highland Community LLC CurrentSince Feb 1, 2024 Accepting new patients
RH Hospitalist Medicine of Marion General LLC CurrentSince Jan 1, 2024 Accepting new patients
Mississippi PHS PC Past Accepting new patients
Camellia Pharmacy Services LLC Past Accepting new patients

Locations

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1073630307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RAWLS SPRINGS LOOP RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027801",
            "telephone_number": "601-582-9553",
            "fax_number": "601-582-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RAWLS SPRINGS LOOP RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027801",
            "telephone_number": "601-582-9553",
            "fax_number": "601-582-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIS",
        "first_name": "BRANDI",
        "middle_name": "RENEE",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "R853120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00417383",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01755393",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.