Individual provider Active NPI

Priyanka Srivastav

  • Internal Medicine Physician
  • High Point, NC
National Provider Identifier
1679956973
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1202949 Issued in NC
Practice address
1226 Eastchester Dr
Ste 200
High Point, NC 27265-3116
Phone
(336) 481-8610
Fax
(336) 481-8619
NPI assigned
Jul 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1202949 NC Primary
Internal Medicine Physician 207R00000X 26045 MS

Addresses

Primary practice location

1226 Eastchester Dr
Ste 200
High Point, NC 27265-3116

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

3635 Bienville Blvd
Ocean Springs, MS 39564-5711
Phone (228) 872-2403

Other identifiers 1

IdentifierTypeStateIssuer
04008751MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181003001743 MS Practitioner - Internal Medicine 7719239698 Reassigns benefits to 1 organization
I20260612002840 NC Practitioner - Internal Medicine 7719239698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

Practice addresses (Care Compare)

3099 Bienville Blvd
Ocean Springs, MS 39564-4308
Phone (228) 818-0310

7001 Hwy 614
Coastal Ambulatory Services
Hurley, MS 39555-5340
Phone (228) 588-6622

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Biloxi, MS, CCN 257100
  • Vitalcaring Group Home health agency, Gulfport, MS, CCN 257090
  • Singing River Health System Hospital, Pascagoula, MS, CCN 250040
  • Singing River Gulfport Hospital, Gulfport, MS, CCN 250123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1202949NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System CurrentSince Oct 1, 2018 Accepting new patients
Singing River Health System Internal Medicine Past Accepting new patients

Locations

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

3099 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-2403

3635 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-1951

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1435968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1679956973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 EASTCHESTER DR",
            "address_2": "STE 200",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272653116",
            "telephone_number": "336-481-8610",
            "fax_number": "336-481-8619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3635 Bienville Blvd",
            "address_purpose": "LOCATION",
            "city": "Ocean Springs",
            "state": "MS",
            "postal_code": "395645711",
            "country_code": "US",
            "telephone_number": "228-872-2403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRIVASTAV",
        "first_name": "PRIYANKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-04",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "1202949",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "26045",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04008751",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.