Individual provider Active NPI

Paul Eugene Smith, CRNA

  • Certified Registered Nurse Anesthetist
  • Natchez, MS
National Provider Identifier
1043211642
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R673722 Issued in MS
Practice address
54 Sergeant Prentiss Dr
Natchez, MS 39120-4726
Phone
(601) 443-2100
NPI assigned
Aug 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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 R673722 MS Primary

Addresses

Primary practice location

54 Sergeant Prentiss Dr
Natchez, MS 39120-4726

Mailing address

178 Highway 24 E
Centreville, MS 39631-4171
Phone (601) 890-0500

Other practice location 1

178 Highway 24 E
Centreville, MS 39631-4171
Phone (601) 890-0500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041220000319 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325005564 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R673722MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Field Memorial Community Hospital Current Accepting new patients
Kings Daughters Medical Center Nurse Anesthetist, Certified Registered CurrentSince Jun 12, 2006 Accepting new patients
King'S Daughters Medical Center CurrentSince Jun 12, 2006 Accepting new patients
Eye and Aesthetic Surgery Center, LLC Past Accepting new patients
Natchez Regional Medical Center Past Accepting new patients
Southwest Mississippi Eye Center Past Accepting new patients

Locations

427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011

178 Highway 24 E
Centreville, MS 39631
Phone (601) 890-0500

Organizations & group practices 6

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": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1043211642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 HIGHWAY 24 E",
            "city": "CENTREVILLE",
            "state": "MS",
            "postal_code": "396314171",
            "telephone_number": "601-890-0500",
            "fax_number": "601-645-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SERGEANT PRENTISS DR",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204726",
            "telephone_number": "601-443-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "178 Highway 24 E",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "MS",
            "postal_code": "396314171",
            "country_code": "US",
            "telephone_number": "601-890-0500",
            "fax_number": "601-645-5873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PAUL",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R673722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.