James David Ingram, CRNA

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

906931 Issued in MS

Practice address

200 Hwy 30 W
New Albany, MS 38652-3197

Phone

(662) 538-7631

NPI assigned

Jan 27, 2023

Last updated

Jan 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1114633641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 WILLOW OAK LN",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477464",
            "telephone_number": "662-590-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HWY 30 W",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523197",
            "telephone_number": "662-538-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MS",
            "license": "906931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Homecare Hospice North, LLC (Legacy Hospice of the South)
• Hometown Express Care, P.C.
• Hometown Healthcare Inc.
• Mitchell Eugene Huelsing, DPT
• Marilyn Hunter
• Internal Medicine and Pediatric Clinic of New Albany, PLLC (Internal Medicine and Pediatric Clinic)
• Internal Medicine Rural Health Clinic of New Albany PA (New Albany Medical Group)
• J Adam Martin Chiropractic LLC
• Clint Jiroux
• Jmac Smiles, LLC

• Critical Care Medicine Registered Nurse in New Albany, MS
• Providers in New Albany, MS by specialty
• Critical Care Medicine Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.