Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Adhvith Reddivari, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063917615

Dr. Adhvith Reddivari, DO is an Emergency Medicine in Hattiesburg, Mississippi. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2018, 8 years ago. Practices with Sandy Creek Emergency Group, PC, a 44-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
MS
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5001 Hardy St
Hattiesburg, MS 39402-1308
Phone: (601) 296-3963
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 28283 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063917615
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2018
Last updated in NPPESJanuary 25, 2022
Certification dateJanuary 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2018 (8 years in practice)
Group practice Sandy Creek Emergency Group, Pc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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