Abha Mishra Neurology PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

ABHA MISHRA NEUROLOGY PLLC

Practice address

1340 Broad Ave
Gulfport, MS 39501-2404

Phone

(228) 596-1103

NPI assigned

Nov 15, 2022

Last updated

Nov 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abha Mishra, MDNPI 1285668921

Title

Owner

Phone

(228) 596-1270

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/cafecfe3-1c38-4574-90a6-d2bb7610e4a4/

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abha Mishra, MD

  • Neurology Physician
  • Gulfport, MS
  • NPI 1285668921
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1497464838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 E SCENIC DR",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395714620",
            "telephone_number": "228-596-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 BROAD AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012404",
            "telephone_number": "228-596-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 44th Ave",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395012554",
            "country_code": "US",
            "telephone_number": "228-596-1103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Broad Ave # Unite600",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395018907",
            "country_code": "US",
            "telephone_number": "228-596-1270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABHA MISHRA NEUROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "MISHRA",
        "authorized_official_first_name": "ABHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-596-1270",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Neurology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.