Individual provider Active NPI

Ashley Dueitt Sanford, AGNP-FNP

  • Adult Health Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1326511031
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
902714 Issued in MS
Practice address
6051 U S Highway 49
Hattiesburg, MS 39401-7200
Phone
(601) 288-7000
NPI assigned
Jan 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 902714 MS
Adult Health Nurse Practitioner 363LA2200X 902714 MS Primary

Addresses

Primary practice location

6051 U S Highway 49
Hattiesburg, MS 39401-7200

Mailing address

PO Box 15722
Hattiesburg, MS 39404-5722

Other practice location 1

50 Parkway Ln
Petal, MS 39465-3035
Phone (601) 705-2897

Other identifiers 1

IdentifierTypeStateIssuer
05857553MedicaidMS

Other names 1

  • Ashley Dueitt Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adueitt48577@directpatientrecord.com Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190221002415 MS Practitioner - Nurse Practitioner 8729327531 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
902714MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest County General Hospital Current Accepting new patients
FGH Physician Billing CurrentSince Aug 9, 2024 Accepting new patients
Forrest General Hospital CurrentSince Aug 9, 2024 Accepting new patients
Hattiesburg Clinic PA CurrentSince Jan 28, 2019 Accepting new patients
Hattiesburg Clinic, PA CurrentSince Jan 28, 2019 Accepting new patients
Forrest County General Hospital CurrentSince Aug 9, 2024 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Past Accepting new patients
Forrest County General Hospital Past Accepting new patients
Walthall County General Hospital Past Accepting new patients

Locations

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

50 Parkway Ln
Ste B
Petal, MS 39465
Phone (601) 705-2897

50 Parkway Ln
Petal, MS 39465
Phone (601) 544-7404

801 Goodyear Blvd
Picayune, MS 39466
Phone (601) 749-0688

200 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-5303

Interoperability endpoints

  • Direct secure messaging: asanford25951@directpatientrecord.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1326511031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15722",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394045722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 U S HIGHWAY 49",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017200",
            "telephone_number": "601-288-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Parkway Ln",
            "address_purpose": "LOCATION",
            "city": "Petal",
            "state": "MS",
            "postal_code": "394653035",
            "country_code": "US",
            "telephone_number": "601-705-2897",
            "fax_number": "601-584-6457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "ASHLEY",
        "middle_name": "DUEITT",
        "credential": "AGNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "902714",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "902714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05857553",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adueitt48577@directpatientrecord.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1238 Highway 42",
            "city": "Sumrall",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394829519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "DUEITT",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.