Anne Marian Pennisson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15051 Issued in MS

Practice address

400 Veterans Ave
Department of Medicine Biloxi VA (111)
Biloxi, MS 39531-2410

Phone

(228) 523-5000

Fax

(228) 523-4515

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

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 and National Provider Directory roles.

• Administrators of the Tulane Educational Fund

  • Specialist
  • New Orleans, LA
  • NPI 1528014164
  NPD (past)
• The Administrators of the Tulane Educational Fund

  • Specialist
  • New Orleans, LA
  • NPI 1437365863
  NPD (past)
• York Physician Services PC

  • Hospitalist Physician
  • Rock Hill, SC
  • NPI 1588898795
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831118108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3597",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395213597",
            "telephone_number": "228-467-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VETERANS AVE",
            "address_2": "DEPARTMENT OF MEDICINE BILOXI VA (111)",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312410",
            "telephone_number": "228-523-5000",
            "fax_number": "228-523-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNISSON",
        "first_name": "ANNE",
        "middle_name": "MARIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "15051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "26110",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20649",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "26749",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret F. Peak, PH.
• Marvin N Pearman, RPH
• Cornell Terri Peck, RN, BSN
• Garrett Ryan Pendergast, COMS, CVRT, CTVI
• Chase Pennington
• Christopher Michael Perez, PH.D.
• Peter Andrew Norowski
• Angela Peters
• Adam M. Peterson, DO
• Andrew J. Peterson, D.O.

• Internal Medicine Physician in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.