Individual provider Active NPI

Vani Naraharisetty, PA-C

  • Medical Physician Assistant
  • Hattiesburg, MS
National Provider Identifier
1710316880
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00194 Issued in MS
Practice address
101 Asbury Circle
Hattiesburg, MS 39402-1150
Phone
(601) 450-2034
NPI assigned
Nov 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00194 MS Primary

Addresses

Primary practice location

101 Asbury Circle
Hattiesburg, MS 39402-1150

Mailing address

67 Highpointe Dr
Hattiesburg, MS 39402-9536
Phone (601) 450-2034

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
I20160517001352 MS Practitioner - Physician Assistant 3779707773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hattiesburg Clinic PAGroup PAC ID 5193706794, 525 clinicians

Practice addresses (Care Compare)

101 Weems St
The Family Clinic of Purvis
Purvis, MS 39475-4062
Phone (601) 794-2224

102 Shelby Speights Dr
Purvis, MS 39475-4151
Phone (601) 794-8065

1407 S Main St
The Poplarville Clinic
Poplarville, MS 39470-3369
Phone (601) 264-6000

201 A Bay Ave
Richton, MS 39476-9671
Phone (601) 583-1559

2313 Highway15
Immediate Care Laurel
Laurel, MS 39440-1805
Phone (601) 649-2775

2313 Hwy 15 N
Laurel Family Medicine
Laurel, MS 39440-1805
Phone (601) 264-6000

415 S 28TH Ave
Hattiesburg, MS 39401-7246

415 S 28TH Ave 3Rd Floor
Ambulatory Cardiovascular Center of Mississ
Hattiesburg, MS 39401-7246
Phone (601) 268-1734

415 S 28TH Ave FL
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

4209 Lincoln Rd
Hattiesburg, MS 39402-3065
Phone (601) 264-6000

50 Pkwy LN
Petal, MS 39465-3035
Phone (601) 264-6000

502 Broad St
Columbia, MS 39429-3037
Phone (601) 736-8282

6051 U S Hwy 49
Forrest General Hospital
Hattiesburg, MS 39401-7200
Phone (601) 264-6000

704 S 5TH St
Collins Family Practice Clinic
Collins, MS 39428-4147
Phone (601) 765-4414

822 Main St
Ellisville, MS 39437-2425
Phone (601) 264-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hattiesburg Clinic PA CurrentSince Dec 19, 2022 Accepting new patients
Hattiesburg Clinic, PA CurrentSince Dec 19, 2022 Accepting new patients
Hattiesburg Clinic, PA Past Accepting new patients

Locations

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

Interoperability endpoints

  • Direct secure messaging: vnaraharisetty127651@directpatientrecord.com
  • Direct secure messaging: vani.naraharisetty.1@20407.direct.athenahealth.com

Organizations & group practices 4

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 2

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": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1710316880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 HIGHPOINTE DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394029536",
            "telephone_number": "601-450-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ASBURY CIRCLE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021150",
            "telephone_number": "601-450-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAHARISETTY",
        "first_name": "VANI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MS",
            "license": "PA00194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.