Active NPI
Anna Fails, FNP
- Nurse Practitioner
- Hattiesburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 903277
- Practice address
- 415 S 28TH Ave
Hattiesburg, MS 39401-7246 - Phone
- (601) 268-5800
- Fax
- (601) 261-3530
- NPI assigned
- May 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 903277 | MS | |
| Nurse Practitioner | 363L00000X | 903277 | MS | Primary |
Addresses
Primary practice location
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Mailing address
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09604894 | Medicaid | MS |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200623002065 | MS | Practitioner - Nurse Practitioner | 5193147007 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Covington County HospitalHattiesburg Clinic PA
Practice addresses (Care Compare)
3275 Hwy 49 E
Family Care Express
Collins, MS 39428-3776
Phone (601) 765-6292
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000
Hospital & facility affiliations
- Forrest General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 903277 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hattiesburg Clinic, PA | Current | Accepting new patients | |
| Hattiesburg Clinic PA | Current | Accepting new patients | |
| Covington County Hospital | Current | Accepting new patients | |
| Covington County Hospital | Current | Accepting new patients | |
| Covington County Hospital | Current | Accepting new patients | |
| Hattiesburg Clinic, PA | Past | Accepting new patients | |
| Covington County Hospital | Past | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Past | Accepting new patients |
Locations
3275 Highway 49
Ste E
Collins, MS 39428
Phone (601) 765-6292
701 S Holly Ave
Collins, MS 39428
Phone (601) 765-3180
415 S 28th Ave
Fl 3
Hattiesburg, MS 39401
Phone (601) 268-1734
415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606
1039 Highway 42
Ste 3
Sumrall, MS 39482
Phone (601) 837-6883
Interoperability endpoints
- afails151377@directpatientrecord.com
- https://fhir-usa.unify.chbase.com/org/covingc-3983785e
Organizations & group practices 21
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Raleigh, MS
- NPI 1003654567
-
- Rural Health Clinic/Center
- Sumrall, MS
- NPI 1659995538
-
- Rural Health Clinic/Center
- Collins, MS
- NPI 1013205350
-
- Rural Acute Care Hospital
- Raleigh, MS
- NPI 1043051543
-
- Skilled Nursing Facility
- Collins, MS
- NPI 1053615518
-
- Rural Health Clinic/Center
- Seminary, MS
- NPI 1134435498
-
- Critical Access Hospital
- Collins, MS
- NPI 1215965249
-
- Psychiatric Hospital Unit
- Collins, MS
- NPI 1225150436
-
- Rural Health Clinic/Center
- Magee, MS
- NPI 1225704208
-
- Rural Health Clinic/Center
- Taylorsville, MS
- NPI 1306460282
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1154945848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 S 28TH AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017246",
"telephone_number": "601-264-6000",
"fax_number": "601-261-3530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 S 28TH AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017246",
"telephone_number": "601-268-5800",
"fax_number": "601-261-3530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAILS",
"first_name": "ANNA",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-29",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "903277",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "903277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09604894",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.
- 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.