Anna Taylor Middleton, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

838 Issued in MS

Practice address

59 Veterans Memorial Dr
Kosciusko, MS 39090-3433

Phone

(662) 289-1067

NPI assigned

Jul 26, 2011

Last updated

Jul 26, 2011By 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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Angela M Thomas OD IncGroup PAC ID 8820188139, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anna.middleton@direct.revolutionehr.com

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.

• Angela M Thomas, O.D., Inc.

  • Optometrist
  • Kosciusko, MS
  • NPI 1114110996
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1093093965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 778",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390900778",
            "telephone_number": "662-289-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 VETERANS MEMORIAL DR",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903433",
            "telephone_number": "662-289-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "ANNA",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Grace McCullough, LCSW
• Tammy McGee, P.T
• Chelsey McLendon
• Tina D McNeal, PT
• Melinda J Meacham, CFNP
• Philip Adam Middleton, DMD
• Jenni Kate Miles, MD
• Mississippi CVS Pharmacy, L.L.C. (CVS Pharmacy # 05883)
• Mississippi Ear Nose and Throat Surgical Associates
• Mississippi State Department of Health

• Optometrist in Kosciusko, MS
• Providers in Kosciusko, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.