Individual provider Active NPI

Aaron Glenn Zahedi, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Biloxi, MS
National Provider Identifier
1770997678
Registry record updated Nov 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R890849 Issued in MS
Practice address
1636 Popps Ferry Rd Ste 107
Biloxi, MS 39532-2214
Phone
(228) 254-1611
Fax
(228) 236-3710
NPI assigned
Jun 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R890849 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R890849 MS Primary

Addresses

Primary practice location

1636 Popps Ferry Rd Ste 107
Biloxi, MS 39532-2214

Mailing address

PO Box 6624
Gulfport, MS 39506-6624
Phone (228) 254-1611

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
I20150106000068 MS Practitioner - Nurse Practitioner 8224351937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1636 Popps Ferry Rd
Suite 107
Biloxi, MS 39532-2214
Phone (228) 254-1611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R890849MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron Zahedi Health LLC Family CurrentSince Aug 9, 2014 Accepting new patients

Locations

1636 Popps Ferry Rd
Ste 215
Biloxi, MS 39532
Phone (228) 365-3552

1636 Popps Ferry Rd
Ste 107
Biloxi, MS 39532
Phone (228) 254-1611

8933 Lorraine Rd
Ste C
Gulfport, MS 39503
Phone (228) 236-2299

12320 Ashley Dr
Ste D
Gulfport, MS 39503
Phone (228) 334-5233

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638057600000",
    "number": "1770997678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6624",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395066624",
            "telephone_number": "228-254-1611",
            "fax_number": "228-236-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 POPPS FERRY RD STE 107",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322214",
            "telephone_number": "228-254-1611",
            "fax_number": "228-236-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHEDI",
        "first_name": "AARON",
        "middle_name": "GLENN",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R890849",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R890849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.