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ANAZIA MEDICAL II, INC.
NPI 1174627459
Internal Medicine in Fayette, MS

Active since September 08, 2006CLIA 25D0964470 · Waiver
1264 MAIN STREET, SUITE A, FAYETTE, MS 39069(601) 786-0390(601) 786-0730 Get Directions Write a Review

NPPES record last updated: October 29, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anazia Medical Ii, Inc. NPPES

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

ANAZIA MEDICAL II, INC. (NPI 1174627459) is a healthcare organization registered as an internal medicine in Fayette, Mississippi and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 16, 2028 and lists Victor O Anazia, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174627459
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameANAZIA MEDICAL II, INC.
Location Address1264 MAIN STREET, SUITE AFayette, MS 39069
Mailing Address120 5th AvenueMccomb, MS 39648 · (601) 249-0013 · Fax (601) 249-0592
Phone(601) 786-0390
Fax(601) 786-0730
Organization SubpartNo
Authorized OfficialVictor O AnaziaCeo · (601) 249-0013
Enumeration DateSeptember 8, 2006
Last NPPES UpdateOctober 29, 2010
✔ NPI 1174627459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MS · 14997
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1264 MAIN STREET, Fayette, MS 39069
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Other Identifiers 2

Medicare ID-Type UnspecifiedC03095MS
Medicaid07753329MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anazia Medical Ii, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Anazia Medical II, Inc., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Victor Anazia, DO
Internal Medicine
NPI 1245232792
120 5TH AVE
Mccomb, MS 39648
(601) 249-0013
✔ PECOS✔ Accepts Medicare49 mi
Harry Hunt, M.D.
Family Practice
NPI 1346268786
1212 BROAD ST
Columbia, MS 39429
(601) 444-9266
✔ PECOS81 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D0964470

Anazia Medical Clinic · Mccomb, MS
Active · expires Aug 16, 2028
CLIA Number25D0964470
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2026
Certificate Expiration DateAugust 16, 2028
Laboratory DirectorVictor O. Anazia
Laboratory Phone(601) 249-0013
Laboratory LocationAnazia Medical Clinic120 5th Avenue, Mccomb, MS 39648
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Anazia Medical II, Inc.'s NPI number?

The NPI number for Anazia Medical II, Inc. is 1174627459. It was assigned to this organization in the NPPES registry on September 8, 2006.

Where is Anazia Medical II, Inc. located?

Anazia Medical II, Inc. is located at 1264 Main Street Suite A, Fayette, MS 39069. The listed phone number is (601) 786-0390.

What is Anazia Medical II, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Anazia Medical II, Inc. enrolled in Medicare?

Yes. Anazia Medical II, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Anazia Medical II, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Anazia Medical II, Inc., in Family Practice and Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Anazia Medical II, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0964470) is associated with this NPI, valid through August 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Anazia Medical II, Inc. accept?

Health plans from Molina Healthcare list Anazia Medical II, Inc. 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 Anazia Medical II, Inc. was last updated on October 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.