ANNA W OBERHOUSEN — NPI 1023378478 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in TERRY, MS)

CMS-1500 Box 24J / 33a • NPI

1023378478

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

261QA0600X

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

1020 CAROLINE DR, TERRY, MS, 39170-5026

✓ 9-Digit EDI 837 ZIP+4 (39170-5026)

Practice Phone & Referral Fax

(601) 415-9533

Fax: (601) 415-9533

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1023378478 (ANNA W OBERHOUSEN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1023378478` (NPI-1 Individual Practitioner)
Provider / Legal Name	ANNA W OBERHOUSEN
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QA0600X` (Clinic/Center, Adult Day Care)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	1020 CAROLINE DR, TERRY, MS, 39170-5026
Practice Telephone / Fax	Tel: (601) 415-9533 \| Fax: (601) 415-9533
Administrative Mailing Address	1020 CAROLINE DR, TERRY, MS, 39170-5026
Enumeration & Last Sync	Enumerated: 2012-05-19 \| CMS Record Updated: 2012-05-19

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1020 CAROLINE DR, TERRY, MS, 39170-5026

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Plain-English Taxonomy & CMS Crosswalk (261QA0600X)

What Does Taxonomy Code 261QA0600X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QA0600X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANNA W OBERHOUSEN)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QA0600X` — Clinic/Center, Adult Day Care Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ANNA W OBERHOUSEN (NPI #1023378478)