Amanda Graham Dobbins, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R860777 Issued in MS

Practice address

2809 Denny Ave
Pascagoula, MS 39581-5301

Phone

(228) 806-4525

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amanda C Graham Other name

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson County AnesthesiaGroup PAC ID 9931292729, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jackson County Anesthesia

  • Anesthesiology Physician
  • Pascagoula, MS
  • NPI 1922159219

  MS

  Medicare reassignment Care Compare group
• Gulfport Anesthesia Services, P.a.

  • Specialist
  • Gulfport, MS
  • NPI 1821033796
  NPD (past)
• Gulfport Outpatient Anesthesia, P.a.

  • Anesthesiology Physician
  • Gulfport, MS
  • NPI 1245402148
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1013067313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15190 COMMUNITY RD",
            "address_2": "SUITE 230A",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033485",
            "telephone_number": "228-831-0204",
            "fax_number": "228-831-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815301",
            "telephone_number": "228-806-4525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15190 Community Rd",
            "address_2": "SUITE 230A",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395033485",
            "country_code": "US",
            "telephone_number": "228-831-0204",
            "fax_number": "228-831-1868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOBBINS",
        "first_name": "AMANDA",
        "middle_name": "GRAHAM",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R860777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "GRAHAM",
            "middle_name": "C",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer S Delaney-Davis, NP-C
• Nestor Karim Delgado, M.D.
• Tiffany Dennis, APRN, PMHNP
• W. Sam Dennis, M.D.
• Michelle Dixon, LPC, ICADC-II, SAP
• Emily Anne Dobbs, ATC
• Kimberly Irby Dominique, FNP
• Monica Amelia Donald, RN
• Robert L Donald III, M.D.
• Vernon W Doster, MD

• All providers in Pascagoula, MS
• Certified Registered Nurse Anesthetist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.