Gregg Anazia
Individual provider Active NPI Hospitalist Physician · Hattiesburg, MS
NPI 1497045512 · NPPES record last updated Mar 26, 2021
Key facts
- NPI
- 1497045512
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 37211 (SC)
- Practice address
- 415 S 28TH Ave
Hattiesburg, MS 39401-7246 - Phone
- (601) 288-4329
- Fax
- (601) 579-5240
- NPI assigned
- Apr 10, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Creighton University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prisma Health Medical Group-Midlands
Singing River Health System
Hattiesburg Clinic PA
Practice addresses (Care Compare)
129 N Washington St
Sumter, SC 29150-4949
Phone (803) 774-9680
2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 818-0563
415 S 28TH Ave
Hattiesburg, MS 39401-7246
415 S 28TH Ave 3Rd Floor
Ambulatory Cardiovascular Center of Mississ
Hattiesburg, MS 39401-7246
Phone (601) 268-1734
415 S 28TH Ave FL
Hattiesburg, MS 39401-7246
Phone (601) 264-6000
6051 U S Hwy 49
Forrest General Hospital
Hattiesburg, MS 39401-7200
Phone (601) 264-6000
Hospital & facility affiliations
- Forrest General Hospital
- Prisma Health Tuomey Hospital
- South Central Reg Med Ctr
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141013001577 | SC | Practitioner - Hospitalist |
4183844236 | Reassigns benefits to 1 organization |
| I20160916001040 | MS | Practitioner - Hospitalist |
4183844236 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37211 | SC | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Current |
Accepting new patients | |
| Hattiesburg Clinic, PA | Current |
Accepting new patients | |
| Singing River Gulfport | Current |
Accepting new patients | |
| Hattiesburg Clinic PA | Current |
Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Singing River Health System | Current |
Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current |
Accepting new patients | |
| Singing River Health System | Current |
Accepting new patients | |
| Prisma Health Medical Group-Midlands | Hospitalist | Current | Accepting new patients |
| Forrest County General Hospital | Past | Accepting new patients |
Locations
15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000
350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054
415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606
3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100
1199 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 875-9363
2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
14 Richland Medical Park Dr
Ste 320
Columbia, SC 29203
Phone (803) 434-1663
Taylor At Marion St
Columbia, SC 29220
Phone (803) 296-3097
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752
115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249
Interoperability endpoints
- ganazia376575@direct.ghs.myhfn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 24500 | MS | |
| Hospitalist Physician | 208M00000X | 37211 | SC | Yes |
Addresses
Primary practice location
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Mailing address
PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7033
Other practice location 1
14 Richland Medical Park Dr Ste 320
Columbia, SC 29203-6896
Phone (803) 434-6771
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 372117 | Medicaid | SC | |
| 00188566 | Medicaid | MS |
Other providers in Hattiesburg, MS
- Akwasi Amponsah
- Senate Oluwakemi Amusu
- Amy Grubbs, NP-C, PLLC
- Roger Anastasio
- Anatomies, Inc.
- Tasheitha Anazia
- Anchored Hope Clinic, PLLC
- Asyeona Azaria Alyss Anderson
- Brittney Hiatt Anderson
- Connie L Anderson
All providers in Hattiesburg, MS · Hospitalist Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.