Anna Jones

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

902744 Issued in MS

Practice address

220 Sunflower Ave
Clarksdale, MS 38614-4221

Phone

(662) 351-2035

Fax

(662) 351-2045

NPI assigned

Jul 26, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559

  Nurse Practitioner

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  MS, Nurse Practitioner

  Medicare reassignment NPD
• Reivitalize Therapy Infusions & Health Services, LLC

  • Infusion Therapy Clinic/Center
  • Clarksdale, MS
  • NPI 1104538768
  NPD Authorized official
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1851050579
  NPD

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1124505649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1744",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386148544",
            "telephone_number": "662-351-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SUNFLOWER AVE",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386144221",
            "telephone_number": "662-351-2035",
            "fax_number": "662-351-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "902744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08987242",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ina Jemerson
• Melanie Johnson, RN
• Robin Johnson
• Shana Johnson, M.S.
• Amber Jones, M.ED.
• Jacqueline Denise Jones, M.S.
• Lela Mae Jones, MSW
• Joseph K Shleweet DDS, PLLC
• Shequita Rena Jurden
• Kenneth W Kellough, M.D.

• Nurse Practitioner in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.