Individual provider Active NPI

Miranda Rawls Harper, DNP, FNP

  • Family Nurse Practitioner
  • Yazoo City, MS
National Provider Identifier
1154935104
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904342 Issued in MS
Practice address
2121 Grand Ave
Yazoo City, MS 39194-2312
Phone
(662) 716-8071
Fax
(662) 716-8072
NPI assigned
Sep 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904342 MS Primary

Addresses

Primary practice location

2121 Grand Ave
Yazoo City, MS 39194-2312

Mailing address

2121 Grand Ave
Yazoo City, MS 39194-2312
Phone (662) 716-8071

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210211000626 MS Practitioner - Nurse Practitioner 4486069143 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Gastrointestinal Associates PAGroup PAC ID 5294795241, 45 clinicians
BW Medical LLCGroup PAC ID 0941653927, 7 clinicians

Practice addresses (Care Compare)

1815 Mission
Suite 66
Vicksburg, MS 39180-3709
Phone 6013551234562

203 Calhoun Station Pkwy
BLDG 200 Suite H
Madison, MS 39110-5546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.9 of 100Reported as group
Quality
47.44
Promoting interoperability
98
Improvement activities
40
Cost
77.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Associates, PA CurrentSince Jul 15, 2023 Accepting new patients
Gastrointestinal Associates, P.a. Current Accepting new patients
BW Medical LLC CurrentSince Nov 1, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Jan 5, 2021 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Jan 5, 2021 Accepting new patients

Locations

203 Calhoun Station Pkwy
Ste H
Gluckstadt, MS 39110
Phone (601) 612-0510

1421 N State St
Ste 203
Jackson, MS 39202
Phone (601) 355-1234

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

1008 Azalea Dr
Waynesboro, MS 39367
Phone (601) 509-2584

2121 Grand Ave
Yazoo City, MS 39194
Phone (662) 716-8071

Organizations & group practices 5

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 1

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": "1599350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1154935104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 GRAND AVE",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391942312",
            "telephone_number": "662-716-8071",
            "fax_number": "662-716-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 GRAND AVE",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391942312",
            "telephone_number": "662-716-8071",
            "fax_number": "662-716-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "MIRANDA",
        "middle_name": "RAWLS",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-06",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yazoo City, MS

Sources for this page

Verify at the official NPI Registry.