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

Callie Hall Self, AGNP

Individual provider Nurse Practitioner · NPI 1124896980

Callie Hall Self, AGNP is a Nurse Practitioner in Flowood, Mississippi. Qualified in 2023, 3 years ago. Practices with Capital Orthopaedic Clinic, PLLC, a 48-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2023
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

104 Burney Dr
Flowood, MS 39232-6621
Phone: (601) 987-8200
Fax: (601) 987-8211
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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 906256 (MS)

Record details

NPI number1124896980
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedDecember 12, 2023
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025
Mailing address104 Burney Dr, Flowood, MS 39232-6621

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Capital Orthopaedic Clinic, Pllc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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