Active NPI
Sana Jaffery, MD, MPH
- Family Medicine Physician
- Gulfport, MS
National Provider Identifier
1134822331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 353805
- Practice address
- 4500 13TH St
Gulfport, MS 39501-2515 - Phone
- (228) 867-4968
- NPI assigned
- Mar 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 353805 | LA | Primary |
Addresses
Primary practice location
4500 13TH St
Gulfport, MS 39501-2515
Mailing address
PO Box 122108 Dept 2108
Dallas, TX 75312-0001
Phone (228) 867-4968
Other practice location 1
1000 Walters St
Lake Charles, LA 70607-4647
Phone (337) 480-8066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230913002574 | MS | Order and Referring Only - Family Practice | 7719341478 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LCMS Rehabilitation Institute of Southwest Louisiana | Past | Accepting new patients |
Interoperability endpoints
- sjaffery@direct.mhg.com
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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Lake Charles, LA
- NPI 1215161922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1134822331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 122108 DEPT 2108",
"city": "DALLAS",
"state": "TX",
"postal_code": "753120001",
"telephone_number": "228-867-4968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 13TH ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012515",
"telephone_number": "228-867-4968"
}
],
"practiceLocations": [
{
"address_1": "1000 Walters St",
"address_purpose": "LOCATION",
"city": "Lake Charles",
"state": "LA",
"postal_code": "706074647",
"country_code": "US",
"telephone_number": "337-480-8066",
"fax_number": "337-480-8109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAFFERY",
"first_name": "SANA",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-24",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "353805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.