ANNA CROW GORDON
NPI 1124765656
Nurse Practitioner in Southaven, MS

Q: What is Anna Gordon's NPI number?

The NPI number for Anna Gordon is 1124765656. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Q: What is Anna Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Anna Gordon was last updated on September 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 16, 2022PECOS EnrolledAccepts Medicare Assignment

60 PHYSICIANS LN, SOUTHAVEN, MS 38671(769) 243-6141(601) 510-1665 Get Directions Write a Review

NPPES record last updated: September 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Anna Crow Gordon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNA CROW GORDON (NPI 1124765656) is an individual nurse practitioner in Southaven, Mississippi, licensed in Mississippi (904651) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124765656

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameANNA CROW GORDON

Location Address60 PHYSICIANS LNSouthaven, MS 38671-6122

Mailing Address778 Liberty RdFlowood, MS 39232-9300 · (769) 243-6141 · Fax (601) 510-1665

Phone(769) 243-6141

Fax(601) 510-1665

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMay 16, 2022

Last NPPES UpdateSeptember 28, 2025

NPPES CertifiedSeptember 28, 2025

✔ NPI 1124765656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MS · 904651

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

60 PHYSICIANS LN, Southaven, MS 38671

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anna Crow Gordon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436534948

PECOS Enrollment IDI20220920002580

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Membrane graft or membrane wrap, per square centimeter Q4205

A membrane graft or wrap is a surgical procedure where a special material is used to replace or support damaged tissue. This material, measured per square centimeter, acts like a scaffold, helping your body to regenerate healthy tissue in the affected area.

958 services22 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

461 services67 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

349 services66 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

118 services16 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

86 services21 patients

Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less 15275

This procedure involves applying a skin substitute graft to a wound that's 25.0 sq cm or less, located on areas such as the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft aids in wound healing and tissue regeneration.

72 services15 patients

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271

This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.

70 services18 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

53 services31 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

42 services24 patients

Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15002

This procedure involves preparing a specific area of the body (trunk, arms, or legs) for a skin graft. The area is cleaned and any dead tissue is removed to ensure a successful graft. The procedure covers an area of 100.0 sq cm or 1% of a child's body.

30 services14 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

21 services21 patients

Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342

A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38671 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COURTNEY BULLARD AGNP-C

Nurse Practitioner (Adult Health)

60 PHYSICIANS LN
SOUTHAVEN, MS 38671

Desoto County (662) 688-5510

FAMILY EAR NOSE & THROAT CARE

Otolaryngology (Pediatric Otolaryngology)

60 PHYSICIANS LN, STE 1
SOUTHAVEN, MS 38671

Desoto County (662) 349-0707

LOUIS R CHANIN DO

Otolaryngology

60 PHYSICIANS LN, SUITE 1
SOUTHAVEN, MS 38671

Desoto County (662) 349-0707

PANDYA-LIPMAN EYE SPECIALIST, PLLC

Optometrist (Pediatrics)

60 PHYSICIANS LN, SUITE 2
SOUTHAVEN, MS 38671

Desoto County (662) 349-3025

TRAENT LLC

Clinic/Center

60 PHYSICIANS LN, SUITE 1
SOUTHAVEN, MS 38671

Desoto County (662) 349-0707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anna Gordon's NPI number?

The NPI number for Anna Gordon is 1124765656. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Where is Anna Gordon located?

Anna Gordon practices at 60 Physicians Ln, Southaven, MS 38671. The listed phone number is (769) 243-6141.

What is Anna Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Anna Gordon enrolled in Medicare?

Yes. Anna Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Anna Gordon accept?

Health plans from Molina Healthcare and UnitedHealthcare list Anna Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anna Gordon was last updated on September 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.