VAMSHI VASANTHA RAYA GORANTLA
NPI 1942935416
Student in an Organized Health Care Education/Training Program in Jackson, MS

Q: What is Vamshi Vasantha Raya Gorantla's NPI number?

The NPI number for Vamshi Vasantha Raya Gorantla is 1942935416. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Q: What is Vamshi Vasantha Raya Gorantla's specialty?

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

Active since July 19, 2022PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-4679 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2022, Jul 20, 2022 (2 updates tracked since 2022).

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About Vamshi Vasantha Raya Gorantla NPPES

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

VAMSHI VASANTHA RAYA GORANTLA (NPI 1942935416) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1942935416

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameVAMSHI VASANTHA RAYA GORANTLA

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing AddressPo Box 980257Richmond, VA 23298-0257 · (804) 828-9783

Phone(601) 984-4679

Sole ProprietorNo

Enumeration DateJuly 19, 2022

Last NPPES UpdateJune 9, 20262 updates tracked since enumeration

NPPES CertifiedJune 9, 2026

✔ NPI 1942935416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code390200000X

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.

2500 N STATE ST, Jackson, MS 39216

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Secondary Practice Location 1

Location 11200 E Marshall StRichmond, VA 23298-5023 · Phone (804) 827-0561

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vamshi Vasantha Raya Gorantla 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)