Active NPI
Tasheitha Anazia
- Psychiatry Physician
- Hattiesburg, MS
National Provider Identifier
1851681969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 24555
- Practice address
- 23 Planters PT
Hattiesburg, MS 39402-8544 - Phone
- (601) 597-0281
- NPI assigned
- Apr 10, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD 38622 | SC | |
| Psychiatry Physician | 2084P0800X | 24555 | MS | Primary |
Addresses
Primary practice location
23 Planters PT
Hattiesburg, MS 39402-8544
Mailing address
23 Planters PT
Hattiesburg, MS 39402-8544
Phone (601) 597-0281
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05903032 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tanazia54876@directpatientrecord.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 38622 | SC | MD | Psychiatry Physician |
Interoperability endpoints
- tanazia54876@directpatientrecord.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1851681969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 PLANTERS PT",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028544",
"telephone_number": "601-597-0281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 PLANTERS PT",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028544",
"telephone_number": "601-597-0281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANAZIA",
"first_name": "TASHEITHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-10",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "MD 38622",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MS",
"license": "24555",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05903032",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tanazia54876@directpatientrecord.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1 Lincoln Pkwy",
"address_2": "Suite 302",
"city": "Hattiesburg",
"state": "MS",
"country_code": "US",
"postal_code": "394023262",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.