DR. JAYA PURATHUR MD
NPI 1396442273
Student in an Organized Health Care Education/Training Program in Greenville, NC

Q: What is Jaya Purathur's NPI number?

The NPI number for Jaya Purathur is 1396442273. It was assigned to this individual provider in the NPPES registry on February 13, 2023.

Q: What is Jaya Purathur's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jaya Purathur was last updated on April 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 13, 2023PECOS Enrolled

2100 STANTONSBURG RD, GREENVILLE, NC 27834(910) 298-3125(910) 320-8409 Get Directions Write a Review

NPPES record last updated: April 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2024, Feb 13, 2023 (2 updates tracked since 2023).

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About Dr. Jaya Purathur Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAYA PURATHUR MD (NPI 1396442273) is an individual student in an organized health care education/training program in Greenville, North Carolina, licensed in North Carolina (PURA-C3W7X6) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396442273

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. JAYA PURATHURCredential: MD

Location Address2100 STANTONSBURG RDGreenville, NC 27834-2818

Mailing Address2100 Stantonsburg RdGreenville, NC 27834-2818 · (910) 298-3125 · Fax (910) 320-8409

Phone(910) 298-3125

Fax(910) 320-8409

Sole ProprietorYes

Enumeration DateFebruary 13, 2023

Last NPPES UpdateApril 6, 20242 updates tracked since enumeration

NPPES CertifiedApril 6, 2024

✔ NPI 1396442273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NC · PURA-C3W7X6

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 2022039228 (MO)

2100 STANTONSBURG RD, Greenville, NC 27834

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jaya Purathur Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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