Tia Anthony, NP is a
Nurse Practitioner based in Crawford, Mississippi. Tia Anthony is licensed to practice in Mississippi (license number 906789) and her current practice location is
79 Clark Rd, Crawford, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 574-9799.
NPI number for Tia Anthony is 1164255121 and her current mailing address is 79 Clark Rd, Crawford, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164255121.
Provider's Profile
Full Name | Tia Anthony |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 79 Clark Rd, Crawford, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164255121
- Provider Enumeration Date: 08/23/2024
- Last Update Date: 08/23/2024
Medical Identifiers
Medical identifiers for Tia Anthony such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164255121 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 906789 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tia Anthony is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tia Anthony, NP 79 Clark Rd, Crawford, MS 39743-9472 Ph: () - | Tia Anthony, NP 79 Clark Rd, Crawford, MS 39743-9472 Ph: (662) 574-9799 |
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