Organization Active NPI

Oxford Anesthesia Group

  • Certified Registered Nurse Anesthetist
  • Oxford, MS
National Provider Identifier
1093348351
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
OXFORD ANESTHESIA GROUP
Practice address
497 Azalea Dr Ste 101
Oxford, MS 38655-7907
Phone
(662) 234-8904
Fax
(662) 236-1191
NPI assigned
Feb 14, 2020
Last updated
Oct 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Lea E Welborn, CRNANPI 1487684767
Title
Owner
Phone
(662) 380-3514

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

497 Azalea Dr Ste 101
Oxford, MS 38655-7907

Mailing address

PO Box 2045
Meridian, MS 39302-2045
Phone (601) 282-7020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200401003131 MS Part B Supplier - Clinic/Group Practice 2668801218 Receives reassigned benefits from 2 practitioners
Practice locations: Oxford, MS

National Provider Directory

National Provider Directory

Locations

497 Azalea Dr
Ste 101
Oxford, MS 38655
Phone (662) 234-1337

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1093348351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2045",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393022045",
            "telephone_number": "601-282-7020",
            "fax_number": "601-974-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 AZALEA DR STE 101",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386557907",
            "telephone_number": "662-234-8904",
            "fax_number": "662-236-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD ANESTHESIA GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "WELBORN",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-380-3514",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.