Active NPI
Jonathan Wesley Reed, CRNA
- Certified Registered Nurse Anesthetist
- Southaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R872085
- Practice address
- 7601 Southcrest Pkwy
Southaven, MS 38671-4739 - Phone
- (662) 772-4333
- NPI assigned
- May 25, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R872085 | MS | Primary |
Addresses
Primary practice location
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Mailing address
PO Box 235022
Montgomery, AL 36123-5022
Phone (334) 386-2053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111104000016 | MS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0749453967 | Reassigns benefits to 1 organization |
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
- American Anesthesiology of Mississippi LLC
Practice addresses (Care Compare)
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (315) 413-5219
Hospital & facility affiliations
- Baptist Memorial Hospital Desoto
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R872085 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Mississippi LLC | Current | Accepting new patients |
Locations
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1083907976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 235022",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361235022",
"telephone_number": "334-386-2053",
"fax_number": "334-244-1830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 SOUTHCREST PKWY",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386714739",
"telephone_number": "662-772-4333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "JONATHAN",
"middle_name": "WESLEY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-25",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R872085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
- Reach Medcare, LLC
- Reed Counseling and Consulting
- Chalonda Reed-Phillips
- Raquel Janay Reed-Washington, FNP-C
- Jessica Rena Reed, EDS, NCC, LPC
- Sandra Joann Reed, MD
- Tammy Q Reed, APN
- Reggie White Cardio-Pulmonary Rehabilitation Center LLC
- Region IV Elderly Outpatient Psychosocial Desoto
- Region IV Mental Health Services-Sunny Road Office
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.