Ann Elizabeth Nicholson

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3688 Veteran Memorial Drive
Hattiesburg, MS 39401

Phone

(601) 554-7400

NPI assigned

May 12, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Bone and Joint Specialists, PAGroup PAC ID 1254328818, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Forrest General Hospital Hospital, Hattiesburg, MS, CCN 250078
• Highland Community Hospital Hospital, Picayune, MS, CCN 250117
• Perry County General Hospital Hospital, Richton, MS, CCN 250783

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ann.nicholson.p1@direct.southernboneandjoint.nextgenshare.com

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.

• Southern Bone & Joint Specialists, PA

  • Orthopaedic Surgery Physician
  • Hattiesburg, MS
  • NPI 1831110725
  Medicare reassignment Care Compare group
• Southern Bone & Joint Specialists

  • Orthopaedic Surgery Physician
  • Brookhaven, MS
  • NPI 1881477354
  NPD
• Southern Bone & Joint Specialists, PA

  • Orthopaedic Surgery Physician
  • Laurel, MS
  • NPI 1396528667
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Forrest County General Hospital

  • General Acute Care Hospital
  • Picayune, MS
  • NPI 1053350462
  Care Compare affiliation
• Forrest County General Hospital

  • General Acute Care Hospital
  • Hattiesburg, MS
  • NPI 1225041809
  Care Compare affiliation
• Forrest County General Hospital

  • Rural Acute Care Hospital
  • Richton, MS
  • NPI 1932143989
  Care Compare affiliation

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1467242594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 AULTMAN RD",
            "city": "SUMRALL",
            "state": "MS",
            "postal_code": "394824026",
            "telephone_number": "601-569-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3688 VETERAN MEMORIAL DRIVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39401",
            "telephone_number": "601-554-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luc Nguyen
• Mong-Tuyen Thi Nguyen
• Victoria Nguyen
• Jill Nicholas, NP-C
• Jonathan Robert Nichols, D.M.D.
• Carlee Nicholson, DNP, FNP-BC
• James A Nicholson, DDS MS
• Lashander Nicholson, IDD WAIVER SERVICES
• Regan Ashley Nicholson I
• Nicole Lynn Nickell, LICENSED ESTHETICIAN

• Physician Assistant in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Physician Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.