NPIMap

Individual provider Active NPI

Anne Hancock Smits, PA-C

  • Physician Assistant
  • Gulfport, MS
National Provider Identifier
1720310956
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00276 Issued in MS
Practice address
1340 Broad Ave Ste 330
Gulfport, MS 39501-2464
Phone
(228) 575-1234
Fax
(228) 865-3038
NPI assigned
Feb 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0004154 MD
Physician Assistant 363A00000X PA00276 MS Primary

Addresses

Primary practice location

1340 Broad Ave Ste 330
Gulfport, MS 39501-2464

Mailing address

1391 Broad Ave
Gulfport, MS 39501-2419
Phone (301) 868-1380

Other practice location 1

7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 877-4536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, HI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181213001013 MS Practitioner - Physician Assistant 4183750631 Reassigns benefits to 1 organization
I20251022004826 HI Practitioner - Physician Assistant 4183750631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Clinic IncGroup PAC ID 8921998808, 7 clinicians

Practice addresses (Care Compare)

414 Uluniu St
Kailua, HI 96734-2517
Phone (808) 261-8345

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic, Inc. CurrentSince Sep 15, 2025 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Oct 1, 2018 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Oct 1, 2018 Accepting new patients
Addala Patel and Associates PC Past Accepting new patients

Locations

1329 Lusitana St
Ste 202
Honolulu, HI 96813
Phone (808) 526-0884

414 Uluniu St
Kailua, HI 96734
Phone (808) 261-8345

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

1340 Broad Ave
Ste 330
Gulfport, MS 39501
Phone (228) 575-1234

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

Organizations & group practices 5

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.

Hospital & facility affiliations 61

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

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1720310956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 BROAD AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012419",
            "telephone_number": "301-868-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 BROAD AVE STE 330",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012464",
            "telephone_number": "228-575-1234",
            "fax_number": "228-865-3038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7503 Surratts Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "207353358",
            "country_code": "US",
            "telephone_number": "301-877-4536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITS",
        "first_name": "ANNE",
        "middle_name": "HANCOCK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-15",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004154",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.