Active NPI
Ann C. Roberson, M.D.
- Anesthesiology Physician
- Jackson, MS
National Provider Identifier
1265688865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 22093
- Practice address
- 1151 N. State St.
Suite 311
Jackson, MS 39202 - Phone
- (601) 969-1171
- Fax
- (601) 969-1173
- NPI assigned
- Aug 14, 2008
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | T2132 | MS | |
| Anesthesiology Physician | 207L00000X | 22093 | MS | Primary |
Addresses
Primary practice location
1151 N. State St.
Suite 311
Jackson, MS 39202
Mailing address
1151 N. State St.
Suite 311
Jackson, MS 39202
Phone (601) 969-1171
Other names 1
- Ann C. Walker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T2132 | MS | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Anesthesia Associates PA | Anesthesiology | Past | Accepting new patients |
| Jackson Pain Center PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1780737577
-
- Pain Medicine (Anesthesiology) Physician
- Jackson, MS
- NPI 1962823344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1265688865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 N. STATE ST.",
"address_2": "SUITE 311",
"city": "JACKSON",
"state": "MS",
"postal_code": "39202",
"telephone_number": "601-969-1171",
"fax_number": "601-969-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 N. STATE ST.",
"address_2": "SUITE 311",
"city": "JACKSON",
"state": "MS",
"postal_code": "39202",
"telephone_number": "601-969-1171",
"fax_number": "601-969-1173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERSON",
"first_name": "ANN",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-14",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MS",
"license": "T2132",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MS",
"license": "22093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "WALKER",
"middle_name": "C.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.