Provider Type Icon

AMARIS MEDICAL GROUP NPI 1285256271


NPI Information

NPI: 1285256271
Provider Name: AMARIS MEDICAL GROUP
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 25D2209251

Address:
3812 ATTALA ROAD 1137
KOSCIUSKO, MS
ZIP 39090
Phone: (662) 582-1925
Get Directions

AMARIS MEDICAL GROUP is a nurse practitioner in Kosciusko, MS. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. AMARIS MEDICAL GROUP NPI is 1285256271. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3812 ATTALA ROAD 1137
KOSCIUSKO, MS
ZIP 39090-556
Phone: (662) 582-1925

The provider's authorized official is Anita Greer .
The authorized official title is Ceo and has the following contact phone number (662) 582-1925.

The CLIA number assigned to this NPI record is 25D2209251 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/12/2020 and was last updated on 7/16/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11780087304OTHERMISSISSIPPIIND NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.