Mitra Ghafarianpoor, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

907773 Issued in MS

Practice address

129 Fountains Blvd
Madison, MS 39110-6318

Phone

(769) 300-0730

Fax

(601) 949-2782

NPI assigned

Sep 8, 2025

Last updated

Apr 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Pain Center of MississippiGroup PAC ID 5193893014, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Pain Center of Mississippi

  • Interventional Pain Medicine Physician
  • Madison, MS
  • NPI 1124275565

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1952282097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 FOUNTAINS BLVD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106318",
            "telephone_number": "769-300-0730",
            "fax_number": "601-949-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 FOUNTAINS BLVD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106318",
            "telephone_number": "769-300-0730",
            "fax_number": "601-949-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAFARIANPOOR",
        "first_name": "MITRA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Genesis Homecare Agency LLC
• Kerstin Gerhold, MD
• Germantown Family Dental
• Jeremy Gibson
• Latasha D Glasper
• Gluckstadt Family Dentistry, PA
• Gluckstadt Special Care Clinic
• Gluckstadt Special Care Pharmacy & Compounding

• Family Nurse Practitioner in Madison, MS
• Providers in Madison, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.