Individual provider Active NPI

Ance O. Hawkins, CRNA

  • Certified Registered Nurse Anesthetist
  • Jackson, MS
National Provider Identifier
1073578084
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R855028 Issued in MS
Practice address
1421 N State St
Suite 203
Jackson, MS 39202-1658
Phone
(601) 355-1234
Fax
(601) 326-3537
NPI assigned
Apr 20, 2006
Last updated
Mar 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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 R855028 MS Primary

Addresses

Primary practice location

1421 N State St
Suite 203
Jackson, MS 39202-1658

Mailing address

1421 N State St
Suite 203
Jackson, MS 39202-1658
Phone (601) 355-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, KY, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040824000877 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850365941 Reassigns benefits to 3 organizations
I20240702004342 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850365941
I20241212004148 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850365941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2500 N State St
Jackson, MS 39216-4500
Phone (601) 898-4404

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R855028MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Magee Benevolent Association Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jan 25, 2025 Accepting new patients
South Central Regional Medical Center CurrentSince Jul 10, 2024 Accepting new patients
American Anesthesiology Associates of Georgia, LLC CurrentSince Oct 1, 2024 Accepting new patients
South Central Regional Medical Center CurrentSince Jul 10, 2024 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jan 25, 2025 Accepting new patients
Jackson Anesthesia Associates PA CurrentSince Aug 21, 2018 Accepting new patients
St. Dominic Jackson Memorial Nurse Anesthetist, Certified Registered Past Accepting new patients
Hattiesburg Anesthesia Associates, LLC Past Accepting new patients
Tupelo Anesthesia Group PA Past Accepting new patients

Locations

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

247 S Main St
Reidsville, GA 30453
Phone (912) 557-1207

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

215 Mims Rd
Sylvania, GA 30467
Phone (912) 557-1207

1053 River Oaks Dr
#C
Flowood, MS 39232
Phone (601) 969-1430

1421 N State St
Ste 203
Jackson, MS 39202
Phone (601) 355-1234

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

300 SE 3rd Ave
Magee, MS 39111
Phone (601) 849-5070

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1073578084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 N STATE ST",
            "address_2": "SUITE 203",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021658",
            "telephone_number": "601-355-1234",
            "fax_number": "601-326-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 N STATE ST",
            "address_2": "SUITE 203",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021658",
            "telephone_number": "601-355-1234",
            "fax_number": "601-326-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "ANCE",
        "middle_name": "O.",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R855028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.