Individual provider Active NPI

Hannah Savely, PA-C

  • Physician Assistant
  • Tupelo, MS
National Provider Identifier
1265087464
Registry record updated Aug 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00570 Issued in MS
Practice address
516 Pegram Dr
Tupelo, MS 38801-6347
Phone
(662) 844-6272
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00570 MS Primary

Addresses

Primary practice location

516 Pegram Dr
Tupelo, MS 38801-6347

Mailing address

516 Pegram Dr
Tupelo, MS 38801-6347
Phone (662) 844-6272

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
I20210909000408 MS Practitioner - Physician Assistant 2466858972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Center of North Ms PAGroup PAC ID 7416006986, 7 clinicians

Practice addresses (Care Compare)

340 Court St
Tupelo, MS 38804-3910
Phone 66284462721005

Merit-based Incentive Payment System (MIPS)

Final score
96.1 of 100Reported as individual
Quality
100
Promoting interoperability
87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629590400000",
    "number": "1265087464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 PEGRAM DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016347",
            "telephone_number": "662-844-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 PEGRAM DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016347",
            "telephone_number": "662-844-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVELY",
        "first_name": "HANNAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.