NPIMap

Individual provider Active NPI

Anna Seals, FNP-C

  • Family Nurse Practitioner
  • Laurel, MS
National Provider Identifier
1801372685
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902792 Issued in MS
Practice address
1220 Jefferson St
Laurel, MS 39440-4355
Phone
(601) 426-4000
Fax
(601) 426-4105
NPI assigned
Jul 16, 2018
Last updated
Jul 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902792 MS Primary

Addresses

Primary practice location

1220 Jefferson St
Laurel, MS 39440-4355

Mailing address

PO Box 247
Laurel, MS 39441-0247

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180730002204 MS Practitioner - Nurse Practitioner 4385992916 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covington County HospitalGroup PAC ID 4183517253, shared by 16 NPIs, 44 clinicians
Jasper General HospitalGroup PAC ID 1052487105, 10 clinicians

Practice addresses (Care Compare)

105 Eaton St
Express Care Taylorsville
Taylorsville, MS 39168-5614
Phone (601) 452-4280

27 S 6TH St
Bay Springs, MS 39422-9052
Phone (601) 764-2155

603 S Main St
Green Tree Family Medical Clinic
Mt Olive, MS 39119-8902
Phone (601) 797-3405

800 3Rd St SW
Magee, MS 39111-3951
Phone (601) 849-1918

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covington County Hospital CurrentSince May 11, 2019 Accepting new patients
South Central Clinics, Inc CurrentSince Jul 1, 2018 Accepting new patients
South Central Clinics, Inc CurrentSince Jul 1, 2018 Accepting new patients
Covington County Hospital Current Accepting new patients
Jasper General Hospital CurrentSince Oct 7, 2024 Accepting new patients
Covington County Hospital CurrentSince Sep 1, 2020 Accepting new patients
Covington County Hospital CurrentSince Aug 1, 2020 Accepting new patients
Thomas R. Blackledge, Jr., MD, PA Current Accepting new patients
Covington County Hospital CurrentSince May 11, 2019 Accepting new patients
Jasper General Hospital Current Accepting new patients
Green Tree Family Medical Clinic Current Accepting new patients
South Central Clinics, Inc Current Accepting new patients
Jasper General Hospital Past Accepting new patients
Covington County Hospital Past Accepting new patients

Locations

701 S Holly Ave
Collins, MS 39428
Phone (601) 765-3180

1203 B Ave
Ellisville, MS 39437
Phone (601) 477-8553

1220 Jefferson St
Laurel, MS 39440
Phone (601) 426-4000

800 3rd St SW
Magee, MS 39111
Phone (601) 849-1918

105 Eaton St
Taylorsville, MS 39168
Phone (601) 452-4280

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/covingc-3983785e
  • FHIR API: https://fhir-usa.unify.chbase.com/org/jasper-5bfe62f3

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1801372685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394410247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 JEFFERSON ST",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404355",
            "telephone_number": "601-426-4000",
            "fax_number": "601-426-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALS",
        "first_name": "ANNA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

Verify at the official NPI Registry.