Anne A. Roberts

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

07705 Issued in MS

Practice address

640 Georgetown St
Hazlehurst, MS 39083-2501

Phone

(601) 894-2271

NPI assigned

Feb 16, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mississippi State Department of Health

  • Public Health or Welfare Agency
  • Hazlehurst, MS
  • NPI 1386054732
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467596031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 GEORGETOWN ST",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390832501",
            "telephone_number": "601-894-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 GEORGETOWN ST",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390832501",
            "telephone_number": "601-894-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ANNE",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MS",
            "license": "07705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123681",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Shane Prather
• Christopher J Price, FNP-C
• Jasmine Chastity Proctor, OTR/L
• Prodox, LLC
• Promise Nursing Solutions LLC
• Kathleen Mary Rose, R.PH.
• Michael Henry Rose, RPH
• Cassidy Sasser
• Senior Solutions LLC
• William Alton Shaw, FNP-C

• Public Health & General Preventive Medicine Physician in Hazlehurst, MS
• Providers in Hazlehurst, MS by specialty
• Public Health & General Preventive Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.