Cantrell Anderson
NPI 1780356212 · Psychiatric/Mental Health Nurse Practitioner · Jackson, MS
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cantrell Anderson is a Psychiatric/Mental Health Nurse Practitioner provider in Jackson, MS (NPI 1780356212).
Provider details
- NPI number
- 1780356212
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 906306 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 969 Lakeland DriveJackson, MS 39216Phone: (662) 590-3658
Registry dates
- Enumerated
- 2021-10-03
- Last updated
- 2024-09-13
- Certified
- 2024-09-13
Frequently asked questions
- What is Cantrell Anderson's NPI number?
- Cantrell Anderson's National Provider Identifier (NPI) is 1780356212, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cantrell Anderson's specialty?
- Cantrell Anderson is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Cantrell Anderson located?
- Cantrell Anderson's practice location on file with NPPES is 1225 N State St, Jackson, MS 39202-2064.
- What is Cantrell Anderson's phone number?
- The practice phone number listed in the NPPES registry for Cantrell Anderson is (601) 968-1031.
- Does Cantrell Anderson accept Medicare?
- Cantrell Anderson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Cantrell Anderson's NPI active?
- Yes — Cantrell Anderson's NPI (1780356212) is active in the NPPES registry as of the last update on 2024-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.