Individual provider Active NPI

David J Ware II, CRNA

  • Certified Registered Nurse Anesthetist
  • Magee, MS
National Provider Identifier
1104919711
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R857666 Issued in MS
Practice address
100 2ND Street SE
Magee, MS 39111
Phone
(601) 849-5070
NPI assigned
Oct 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R857666 MS Primary

Addresses

Primary practice location

100 2ND Street SE
Magee, MS 39111

Mailing address

402 Rebecca Ave
Hattiesburg, MS 39401
Phone (601) 297-7629

Other identifiers 1

IdentifierTypeStateIssuer
00119443MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120112000728 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628245750 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gi Alliance Anesthesia of Mississippi PLLCGroup PAC ID 3173963949, 28 clinicians

Practice addresses (Care Compare)

100 Methodist Blvd
Hattiesburg, MS 39402-1295
Phone (601) 268-5185

Merit-based Incentive Payment System (MIPS)

Final score
76.9 of 100Reported as group
Quality
47.44
Promoting interoperability
98
Improvement activities
40
Cost
77.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R857666MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Regional Medical Center CurrentSince Jan 1, 1989 Accepting new patients
Gi Alliance Anesthesia of Mississippi PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 Accepting new patients
Southern Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 8, 2013 Accepting new patients
South Central Regional Medical Center CurrentSince Jan 1, 1989 Accepting new patients
Magee Benevolent Association Current Accepting new patients
Gastrointestinal Associates, PA Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Gastrointestinal Associates, P.a. Current Accepting new patients
McLemore Emergency Physicians PastSince Dec 18, 2007 Accepting new patients
Digestive Diseases Center of Hattiesburg, LLC PastSince Jan 29, 2023 Accepting new patients

Locations

701 S Holly Ave
Collins, MS 39428
Phone (601) 765-3180

2510 Lakeland Dr
Flowood, MS 39232
Phone (601) 355-1234

100 Methodist Hospital Blvd
Hattiesburg, MS 39402
Phone (601) 268-5185

1000 Turtle Creek Dr
Ste 4
Hattiesburg, MS 39402
Phone (601) 268-5189

139 Fairfield Dr
Hattiesburg, MS 39402
Phone (601) 450-2401

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

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

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104919711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 REBECCA AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39401",
            "telephone_number": "601-297-7629",
            "fax_number": "601-582-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 2ND STREET SE",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "39111",
            "telephone_number": "601-849-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R857666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119443",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magee, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.