Active NPI
Ashley Dueitt Sanford, AGNP-FNP
- Adult Health Nurse Practitioner
- Hattiesburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 902714
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05857553 | Medicaid | MS |
Other names 1
- Ashley Dueitt
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902714 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forrest County General Hospital | Current | Accepting new patients | |
| FGH Physician Billing | Current | Accepting new patients | |
| Forrest General Hospital | Current | Accepting new patients | |
| Hattiesburg Clinic PA | Current | Accepting new patients | |
| Hattiesburg Clinic, PA | Current | Accepting new patients | |
| Forrest County General Hospital | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Hattiesburg, MS
- NPI 1053469700
-
- Psychiatric Hospital Unit
- Hattiesburg, MS
- NPI 1295837631
-
- Multi-Specialty Clinic/Center
- Hattiesburg, MS
- NPI 1740213446
-
dba Highland Center for Women's Health RHC
- Rural Health Clinic/Center
- Picayune, MS
- NPI 1043820426
-
- Internal Medicine Physician
- Hattiesburg, MS
- NPI 1053512087
-
dba Flowood Primary Care
- Primary Care Clinic/Center
- Flowood, MS
- NPI 1912600354
-
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1225041809
-
dba Holmes County Hospital and Clinic
- Critical Access Hospital
- Lexington, MS
- NPI 1386630705
-
- Critical Access Hospital
- Tylertown, MS
- NPI 1225159411
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.