Active NPI
Annisha Jones
- Primary Care Nurse Practitioner
- Clinton, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 903862
- Practice address
- 316 Kirkwood Dr
Clinton, MS 39056-5882 - Phone
- (601) 500-0548
- NPI assigned
- Sep 10, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 903862 | MS | Primary |
Addresses
Primary practice location
316 Kirkwood Dr
Clinton, MS 39056-5882
Mailing address
316 Kirkwood Dr
Clinton, MS 39056-5882
Phone (601) 500-0548
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211221000432 | MS | Practitioner - Nurse Practitioner | 2668863937 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Mississippi Health Services, Inc | Current | Accepting new patients | |
| Central Mississippi Civic Improvement Association, Inc. | Current | Accepting new patients | |
| Central Mississippi Health Services, Inc | Current | Accepting new patients | |
| Central Mississippi Civic Improvement Association, Inc. | Current | Accepting new patients | |
| Central Mississippi Civic Improvement Association, Inc | Current | Accepting new patients | |
| Central Mississippi Health Services, Inc | Current | Accepting new patients |
Locations
3502 W Northside Dr
Jackson, MS 39213
Phone (601) 982-1625
5429 Robinson Road Ext
Jackson, MS 39204
Phone (601) 914-0163
1860 Chadwick Dr
Ste 254
Jackson, MS 39204
Phone (601) 376-2818
1134 Winter St
Jackson, MS 39204
Phone (601) 948-5572
129 White Oak St
Utica, MS 39175
Phone (601) 885-6021
Interoperability endpoints
- annisha.jones.p1@direct.gacfhc.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1134151442
MS
-
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1730120502
MS
-
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1215744396
-
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1427377266
-
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1003470758
-
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1386301059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1851940951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 KIRKWOOD DR",
"city": "CLINTON",
"state": "MS",
"postal_code": "390565882",
"telephone_number": "601-500-0548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 KIRKWOOD DR",
"city": "CLINTON",
"state": "MS",
"postal_code": "390565882",
"telephone_number": "601-500-0548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ANNISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MS",
"license": "903862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.