Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anna Crow Gordon

Individual provider Nurse Practitioner · NPI 1124765656

Anna Crow Gordon is a Nurse Practitioner in Southaven, Mississippi. Qualified in 2021, 5 years ago. Practices with Wound Management Specialists LLC, a 158-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2022
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Practice location Address checks out

60 Physicians Ln
Southaven, MS 38671-6122
Phone: (769) 243-6141
Fax: (601) 510-1665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 904651 (MS)

Record details

NPI number1124765656
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 16, 2022
Last updated in NPPESSeptember 28, 2025
Certification dateSeptember 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Wound Management Specialists Llc — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Southaven