Individual provider Active NPI

Gail Green Miller, CRNA

  • Certified Registered Nurse Anesthetist
  • Amory, MS
National Provider Identifier
1023037629
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R133670 Issued in MS
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

Updated by the provider on Apr 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
R133670MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Health Services, Inc. CurrentSince Apr 17, 2021 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Oct 1, 2017 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Oct 1, 2017 Accepting new patients
DHS Anesthesia, LLC CurrentSince Jan 6, 2020 Accepting new patients
Monroe Health Services, Inc. CurrentSince Apr 17, 2021 Accepting new patients
Willow Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 17, 2014 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.