Individual provider Active NPI

Devinna Bahadur, DNP, MSN, AGACN-BC

  • Nurse Practitioner
  • Vicksburg, MS
National Provider Identifier
1235857236
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
902332 Issued in MS
Practice address
2080 S Frontage Rd Ste 107
Vicksburg, MS 39180-5882
Phone
(601) 564-7070
Fax
(601) 636-6233
NPI assigned
Aug 16, 2022
Last updated
May 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 902332 MS Primary

Addresses

Primary practice location

2080 S Frontage Rd Ste 107
Vicksburg, MS 39180-5882

Mailing address

2080 S Frontage Rd Ste 107
Vicksburg, MS 39180-5882
Phone (601) 564-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220914003698 MS Practitioner - Nurse Practitioner 3274918230 Reassigns benefits to 3 organizations
I20231004002545 LA Practitioner - Nurse Practitioner 3274918230 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wound Management Specialists LLCGroup PAC ID 5193056364, 157 clinicians
Wound Care Associates LLCGroup PAC ID 0840314548, 117 clinicians
Healthcare Plus Limited Liability CompanyGroup PAC ID 5698038610, 120 clinicians

Practice addresses (Care Compare)

120 Stone Creek Blvd
Suite 300
Flowood, MS 39232-8211
Phone (769) 239-6141

16065 Lamonte Dr
Hammond, LA 70403-1405
Phone (985) 892-7070

2080 S Frontage Rd
Suite 107
Vicksburg, MS 39180-5882
Phone (601) 654-7070

2781 C T Switzer Sr Dr
Suite 100
Biloxi, MS 39531-4535
Phone (769) 243-6141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.56 of 100Reported as group
Quality
43.22
Promoting interoperability
88
Improvement activities
40
Cost
31.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Plus Limited Liability Company Nurse Practitioner CurrentSince Oct 20, 2025 Accepting new patients
Wound Care Associates LLC CurrentSince Jun 12, 2023 Accepting new patients
Wound Management Specialists, LLC Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients

Locations

20050 Crestwood Blvd
#O
Covington, LA 70433
Phone (985) 867-4008

16065 Lamonte Dr
Hammond, LA 70403
Phone (855) 432-5328

3001 22nd St
Metairie, LA 70002
Phone (504) 949-0450

1281 Lamy Ln
Ste 110
Monroe, LA 71201
Phone (318) 374-7370

1310 Gause Blvd
Slidell, LA 70458
Phone (985) 602-1215

2781 C T Switzer SR Dr
Ste 100
Biloxi, MS 39531
Phone (228) 207-8632

120 Stone Creek Blvd
Ste 300
Flowood, MS 39232
Phone (769) 239-6141

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

1190 N State St
Ste 2A
Jackson, MS 39202
Phone (601) 292-4292

431 W Race St
Rolling Fork, MS 39159
Phone (662) 795-0440

2080 S Frontage Rd
Ste 107
Vicksburg, MS 39180
Phone (601) 629-0015

2080 S Frontage Rd
Ste 109
Vicksburg, MS 39180
Phone (601) 654-7070

Interoperability endpoints

  • Direct secure messaging: devinna.bahadur.p1@direct.jacksonneurosurgery.nextgenshare.com

Organizations & group practices 3

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

Hospital & facility affiliations 3

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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1235857236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 S FRONTAGE RD STE 107",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805882",
            "telephone_number": "601-564-7070",
            "fax_number": "601-636-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 S FRONTAGE RD STE 107",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805882",
            "telephone_number": "601-564-7070",
            "fax_number": "601-636-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHADUR",
        "first_name": "DEVINNA",
        "name_prefix": "Dr.",
        "credential": "DNP, MSN,  AGACN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "902332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.