Individual provider Active NPI

George Rayford Smith II, CRNA

  • Certified Registered Nurse Anesthetist
  • McComb, MS
National Provider Identifier
1063709418
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R881364 Issued in MS
Practice address
215 Marion Dr.
McComb, MS 39648-4040
Phone
(601) 249-5500
NPI assigned
Jul 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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 R881364 MS Primary

Addresses

Primary practice location

215 Marion Dr.
McComb, MS 39648-4040

Mailing address

3640 Poplar Springs Dr
Meridian, MS 39305-3741
Phone (504) 578-7744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120127000356 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385811652 Reassigns benefits to 3 organizations
I20181011002319 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385811652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Symvios Anesthesia LLCGroup PAC ID 8729446521, 14 clinicians

Practice addresses (Care Compare)

995 Robert Blvd
Slidell, LA 70458-2009
Phone (985) 690-8200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center Management Corporation CurrentSince Jun 14, 2018 Accepting new patients
University Medical Center Management Corporation CurrentSince Jun 14, 2018 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Oct 20, 2018 Accepting new patients
Symvios Anesthesia LLC CurrentSince Jun 1, 2023 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Oct 20, 2018 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 23, 2022 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Jan 17, 2022 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Ochsner Mississippi, LLC Current Accepting new patients
Memorial Hospital at Gulfport CurrentSince Jan 17, 2022 Accepting new patients

Locations

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

995 Robert Blvd
Slidell, LA 70458
Phone (985) 520-0909

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

1926 23rd Ave
Meridian, MS 39301
Phone (601) 485-1131

3882 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-6290

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1063709418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 POPLAR SPRINGS DR",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393053741",
            "telephone_number": "504-578-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MARION DR.",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396484040",
            "telephone_number": "601-249-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GEORGE",
        "middle_name": "RAYFORD",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R881364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.