Individual provider Active NPI

Rava Pittman, FNP-BC

  • Family Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1255571980
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
866334 Issued in MS
Practice address
215 Katherine Dr Ste a
Flowood, MS 39232-9588
Phone
(601) 665-4162
Fax
(855) 830-3484
NPI assigned
Feb 20, 2009
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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 866334 MS Primary

Addresses

Primary practice location

215 Katherine Dr Ste a
Flowood, MS 39232-9588

Mailing address

201A Magnolia St
Post Office Box 369
Vaiden, MS 39176-5644
Phone (662) 464-5470

Other practice location 1

201A Magnolia St
Vaiden, MS 39176-5644
Phone (662) 464-5470

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
I20090311000657 MS Practitioner - Nurse Practitioner 2062578321 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minor Med Care, LLCGroup PAC ID 7618866021, 77 clinicians
MDB Behavioral Health Services LLCGroup PAC ID 0749572915, 201 clinicians

Practice addresses (Care Compare)

120 W Main St
Raymond, MS 39154-1223
Phone (601) 857-2341

1911 Mission
66 Suite B
Vicksburg, MS 39180-3762
Phone (601) 456-2598

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
866334MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minor Med Care, LLC CurrentSince Jan 21, 2026 Accepting new patients
Uppal Medical Center LLC CurrentSince Feb 4, 2026 Accepting new patients
Minor Med Care, LLC CurrentSince Jan 21, 2026 Accepting new patients
MDB Behavioral Health Services LLC CurrentSince Feb 4, 2026 Accepting new patients
Greenwood Leflore Hospital CurrentSince Apr 1, 2013 Accepting new patients
Patients Choice Medical Center of Humphreys County, LLC Past Accepting new patients
Greenwood Leflore Hospital Past Accepting new patients

Locations

1727 E Union St
Greenville, MS 38703
Phone (662) 332-0373

1401 River Rd
Rm 442
Greenwood, MS 38930
Phone (662) 459-7149

215 Katherine Dr
#A
Jackson, MS 39232

2860 McDowell Road Ext
Jackson, MS 39204
Phone (601) 372-1117

Organizations & group practices 7

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": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1255571980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201A MAGNOLIA ST",
            "address_2": "POST OFFICE BOX 369",
            "city": "VAIDEN",
            "state": "MS",
            "postal_code": "391765644",
            "telephone_number": "662-464-5470",
            "fax_number": "662-464-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 KATHERINE DR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329588",
            "telephone_number": "601-665-4162",
            "fax_number": "855-830-3484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201A Magnolia St",
            "address_purpose": "LOCATION",
            "city": "Vaiden",
            "state": "MS",
            "postal_code": "391765644",
            "country_code": "US",
            "telephone_number": "662-464-5470",
            "fax_number": "662-464-0152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "RAVA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "866334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.