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

Mrs. Ann Elizabeth Nicholson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1467242594

Mrs. Ann Elizabeth Nicholson is a Physician Assistant in Hattiesburg, Mississippi. Qualified in 2025, 1 year ago. Practices with Southern Bone and Joint Specialists, PA, a 53-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
Specialties on file
2

Practice location Address checks out

3688 Veteran Memorial Dr
Hattiesburg, MS 39401
Phone: (601) 554-7400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1467242594
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 12, 2025
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Southern Bone And Joint Specialists, Pa — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Hattiesburg