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

Anutida Charoentong

Individual provider Internal Medicine Physician · NPI 1013442904

Anutida Charoentong is an Internal Medicine in Purvis, Mississippi. Graduated from William Carey University College of Osteopathic Medicine in 2017, 9 years ago. Practices with Hattiesburg Clinic PA, a 530-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
9
Trained at
William Carey University College of Osteopathic Medicine
Licensed in
MS
In the registry since
2017

Practice location Address checks out

102 Shelby Speights Dr
Purvis, MS 39475-4151
Phone: (601) 794-8065
Fax: (601) 794-5650
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 27867 (MS)

Record details

NPI number1013442904
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 27, 2017
Last updated in NPPESJanuary 31, 2022
Certification dateJanuary 31, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolWILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice Hattiesburg Clinic Pa — 530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount