Individual provider Active NPI

Annisha Jones

  • Primary Care Nurse Practitioner
  • Clinton, MS
National Provider Identifier
1851940951
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
903862 Issued in MS
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

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Central Mississippi Health Services, Inc CurrentSince May 3, 2023 Accepting new patients
Central Mississippi Civic Improvement Association, Inc. CurrentSince Sep 20, 2023 Accepting new patients
Central Mississippi Health Services, Inc Current Accepting new patients
Central Mississippi Civic Improvement Association, Inc. CurrentSince Sep 20, 2023 Accepting new patients
Central Mississippi Civic Improvement Association, Inc Current Accepting new patients
Central Mississippi Health Services, Inc CurrentSince May 3, 2023 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

  • Direct secure messaging: annisha.jones.p1@direct.gacfhc.nextgenshare.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.