Anna Vimala John

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

60344 Issued in KY

Practice address

1047 S Highway 25 W
Williamsburg, KY 40769-1639

Phone

(606) 549-2656

NPI assigned

Mar 26, 2022

Last updated

May 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, KY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dayspring Health Inc

  dba Dayspring Dental

  • Federally Qualified Health Center (FQHC)
  • Williamsburg, KY
  • NPI 1871631804
  Medicare reassignment NPD
• Dayspring Health Inc

  dba Clear Fork Clinic

  • Federally Qualified Health Center (FQHC)
  • Clairfield, TN
  • NPI 1013049469
  Medicare reassignment NPD
• Dayspring Health, Inc.

  dba Dayspring Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Williamsburg, KY
  • NPI 1538867551
  NPD
• Dayspring Health, Inc.

  dba Dayspring Jellico

  • Federally Qualified Health Center (FQHC)
  • Jellico, TN
  • NPI 1023022084
  NPD
• Dayspring Auxiliary Services, LLC

  • Physiological Laboratory
  • Williamsburg, KY
  • NPI 1134990070
  NPD (past)

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

{
    "created_epoch": "1648252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1144970781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377620540",
            "telephone_number": "423-784-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 S HIGHWAY 25 W",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407691639",
            "telephone_number": "606-549-2656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Baylor Plz # Bcm320",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303411",
            "country_code": "US",
            "telephone_number": "832-824-1170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5663 Highway 90",
            "address_purpose": "LOCATION",
            "city": "Clairfield",
            "state": "TN",
            "postal_code": "377153632",
            "country_code": "US",
            "telephone_number": "423-784-6135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Sunset Trl",
            "address_purpose": "LOCATION",
            "city": "Jellico",
            "state": "TN",
            "postal_code": "377622343",
            "country_code": "US",
            "telephone_number": "423-784-5771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHN",
        "first_name": "ANNA",
        "middle_name": "VIMALA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-26",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "73817",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "60344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Primary & Urgent Care of Williamsburg PLLC
• John A Jeffries, DMD
• Jellico Community Hospital, Inc (Care Plus Rehab)
• Jellico Regional Hospital, LLC (JRH Medical Group, Preferred Healthcare)
• Jill L Bryant Aprn LLC
• Marcie Leigh Johnson, APRN
• Josalynn Jones
• Julie Marie Jones
• Kimberly K Jones, RPH.
• Lindsey Jones, APRN

• Pediatrics Physician in Williamsburg, KY
• Providers in Williamsburg, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.