Active NPI
Gail Green Miller, CRNA
- Certified Registered Nurse Anesthetist
- Amory, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R133670
- Practice address
- 1105 Earl Frye Blvd
Amory, MS 38821-5500 - Phone
- (662) 256-7111
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R133670 | MS | Primary |
Addresses
Primary practice location
1105 Earl Frye Blvd
Amory, MS 38821-5500
Mailing address
123 Main St N
Amory, MS 38821-3416
Phone (662) 256-7112
Other names 1
- Mary Gail Green
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050104001032 | MS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7113975319 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R133670 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe Health Services, Inc. | Current | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms LLC | Current | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms, LLC | Current | Accepting new patients | |
| DHS Anesthesia, LLC | Current | Accepting new patients | |
| Monroe Health Services, Inc. | Current | Accepting new patients | |
| Willow Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tupelo Anesthesia Group PA | Past | Accepting new patients | |
| Amory Hma Inc | Past | Accepting new patients | |
| Amory Primary Medicine Clinic | Past | Accepting new patients |
Locations
400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000
40128 Hamilton Rd
Hamilton, MS 39746
Phone (662) 343-5129
2704 West Oxford Loop
Ste 117
Oxford, MS 38655
Phone (662) 550-4299
589 Garfield St
Tupelo, MS 38801
Phone (601) 680-5565
Interoperability endpoints
- https://api.platform.athenahealth.com/15519/brand/1/csg/1/fhir/r4
Organizations & group practices 9
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.
-
- Certified Registered Nurse Anesthetist
- Oxford, MS
- NPI 1205169521
MS, Nurse Anesthetist, Certified Registered
-
- Community/Retail Pharmacy
- Aberdeen, MS
- NPI 1134858269
-
- Surgery Physician
- Amory, MS
- NPI 1386433860
-
- Hospitalist Physician
- Amory, MS
- NPI 1013938703
-
- Internal Medicine Physician
- Amory, MS
- NPI 1417170721
-
- Anesthesiology Physician
- Tupelo, MS
- NPI 1558390443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397520000000",
"number": "1023037629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 MAIN ST N",
"city": "AMORY",
"state": "MS",
"postal_code": "388213416",
"telephone_number": "662-256-7112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 EARL FRYE BLVD",
"city": "AMORY",
"state": "MS",
"postal_code": "388215500",
"telephone_number": "662-256-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "GAIL",
"middle_name": "GREEN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2014-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R133670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "GREEN",
"middle_name": "GAIL",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Amory, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.