Active NPI
Nicholas Parsa
- Urology Physician
- Flora, MS
National Provider Identifier
1154175644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- T-5512
- Practice address
- 173 Lake Trail Dr
Flora, MS 39071-9500 - Phone
- (601) 832-2862
- NPI assigned
- Apr 12, 2024
- Last updated
- Jul 14, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | T-5512 | MS | Primary |
Addresses
Primary practice location
173 Lake Trail Dr
Flora, MS 39071-9500
Mailing address
173 Lake Trail Dr
Flora, MS 39071-9500
Phone (601) 832-2862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-5512 | MS | MD | Urology Physician |
Interoperability endpoints
- nparsa173180@ummc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720915200000",
"number": "1154175644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 LAKE TRAIL DR",
"city": "FLORA",
"state": "MS",
"postal_code": "390719500",
"telephone_number": "601-832-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 LAKE TRAIL DR",
"city": "FLORA",
"state": "MS",
"postal_code": "390719500",
"telephone_number": "601-832-2862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARSA",
"first_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-12",
"last_updated": "2024-07-14",
"certification_date": "2024-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MS",
"license": "T-5512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flora, MS
- Mylimbs Prosthetics & Supplies
- Cassandra Elizabeth Newman, RN
- Oliver Instrument Company
- Optical 2000 of Flora PA
- Julie Ann Orr, LPC
- Quad Intermed Company LLC (MEA Medical Clinics)
- Mary Catherine Reynolds, DMD
- River Oaks Management Company, LLC (Flora Family Physicians)
- Caitlin Sisco
- The Corner Pharmacy and Market
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2024; 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.