Individual provider Active NPI

Anne Wilson Selby, FNP

  • Family Nurse Practitioner
  • Charleston, MS
National Provider Identifier
1942083548
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906104 Issued in MS
Practice address
171 Dr. T T Lewis Circle
Charleston, MS 38921
Phone
(662) 647-5816
NPI assigned
Aug 16, 2023
Last updated
May 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2026

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 906104 MS Primary

Addresses

Primary practice location

171 Dr. T T Lewis Circle
Charleston, MS 38921

Mailing address

171 Dr. T T Lewis CR
Charleston, MS 38921
Phone (662) 647-5816

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
I20231003002170 MS Practitioner - Nurse Practitioner 4183078595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahatchie General HospitalGroup PAC ID 1052208097, 20 clinicians

Practice addresses (Care Compare)

141 Dr T T Lewis Circle
Charleston, MS 38921-2236
Phone (662) 647-5392

141 Dr TT Lewis Cir
Charleston, MS 38921-2400

17390 US Hwy 49 W
Tutwiler, MS 38963-5143
Phone (662) 345-8334

PO Box
Suite 230
Charleston, MS 38921

PO Box
Suite 230
Charleston, MS 38921-0240

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahatchie General Hospital CurrentSince Apr 10, 2025 Accepting new patients
Tallahatchie General Hospital Current Accepting new patients
Hernando Family Medical Clinic, LLC Family CurrentSince Sep 1, 2023 Accepting new patients
Archipoimen PLLC CurrentSince Dec 13, 2024 Accepting new patients
Tallahatchie General Hospital Family Medicine CurrentSince Apr 10, 2025 Accepting new patients
Tallahatchie General Hospital PastSince Oct 31, 2021 Accepting new patients

Locations

171 Dr TT Lewis Cir
Charleston, MS 38921
Phone (662) 647-5535

1301 Sunset Dr
Ste E
Grenada, MS 38901
Phone (662) 229-0069

2670 McIngvale Rd
Ste H
Hernando, MS 38632
Phone (662) 429-4988

Interoperability endpoints

  • Direct secure messaging: anne.selby.1@22832.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22832/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/tallagh-438e232a

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1942083548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 DR. T T LEWIS CR",
            "city": "CHARLESTON",
            "state": "MS",
            "postal_code": "38921",
            "telephone_number": "662-647-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 DR. T T LEWIS CIRCLE",
            "city": "CHARLESTON",
            "state": "MS",
            "postal_code": "38921",
            "telephone_number": "662-647-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBY",
        "first_name": "ANNE",
        "middle_name": "WILSON",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, MS

Sources for this page

Verify at the official NPI Registry.