Clifford Blaylock, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R782755 Issued in MS

Practice address

208 Rachelle Dr
Oxford, MS 38655-6135

Phone

(662) 281-8700

NPI assigned

Jun 5, 2006

Last updated

Nov 30, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rayner Eye Clinic, LLCGroup PAC ID 9537136577, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.83 of 100Reported as group

Quality

95.68

Promoting interoperability

100

Improvement activities

40

Cost

37.09

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Rayner Eye Clinic, LLC

  • Clinic/Center
  • Oxford, MS
  • NPI 1326148578
  Medicare reassignment Care Compare group NPD
• Anesthesia Consultants of Oxford, PLLC

  • Specialist
  • Oxford, MS
  • NPI 1265485742
  NPD (past)
• Clarksdale Hma LLC

  dba Northwest Mississippi Regional Medical Center

  • General Acute Care Hospital
  • Clarksdale, MS
  • NPI 1376584110
  NPD (past)
• Clarksdale Hma LLC

  dba Clarksdale Phys Serv Anesthesia CRNA

  • Anesthesiology Physician
  • Clarksdale, MS
  • NPI 1386679744

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Rayner Optical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oxford, MS
  • NPI 1306957709
  NPD (past)
• Tupelo Anesthesia Group PA

  • Anesthesiology Physician
  • Tupelo, MS
  • NPI 1558390443
  NPD (past)
• Jonesboro Anesthesia Inc

  • Anesthesiology Physician
  • Jonesboro, AR
  • NPI 1043228448
  NPD (past)
• Medical Anesthesia Group, PA

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1679527501
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1043259146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 RACHELLE DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386556135",
            "telephone_number": "662-281-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 RACHELLE DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386556135",
            "telephone_number": "662-281-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAYLOCK",
        "first_name": "CLIFFORD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R782755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119446",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Brent Bishop, PHARMD
• Sabrina L Bishop
• Steven Michael Bishop, PH.D.
• Lauren Blackburn, DNP. PMHNP-BC
• Caitlin Smith Blansett, OTR/L
• Lori Blaylock, CRNA
• Meggan Hanson Blaylock, MS
• Kenya Grace Bledsoe, PHD, LPC-S
• Amanda Bloodworth
• Hannah Blount, RN

• Certified Registered Nurse Anesthetist in Oxford, MS
• Providers in Oxford, MS by specialty
• Certified Registered Nurse Anesthetist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.