Greg R Parham, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Tupelo, MS
NPI 1144419987 · NPPES record last updated Nov 16, 2010
Key facts
- NPI
- 1144419987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- R825654 (MS)
- Practice address
- 830 South Gloster
Tupelo, MS 38801 - Phone
- (662) 377-4394
- Fax
- (662) 377-7045
- NPI assigned
- Oct 17, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 26
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monroe Health Services Inc
North Mississippi Medical Center, Inc.
Practice addresses (Care Compare)
1105 Earl Frye Blvd
Amory, MS 38821-5500
830 S Gloster
North Ms Med Ctr Sleep Lab
Tupelo, MS 38801-4934
Phone (662) 377-3258
830 S Gloster St
Tupelo, MS 38801-4934
830 S Gloster St 3Rd FL E Tower
Tupelo, MS 38801-4934
Hospital & facility affiliations
- North Mississippi Medical Center-Gilmore Amory
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MS, AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080207000546 | MS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9638252018 | Reassigns benefits to 5 organizations |
| I20221104001750 | AL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9638252018 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R825654 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tupelo Anesthesia Group PA | Current |
Accepting new patients | |
| DHS Anesthesia, LLC | Current |
Accepting new patients | |
| Clay County Medical Corporation | Current |
Accepting new patients | |
| Clay County Medical Corporation | Current |
Accepting new patients | |
| Marion Regional Medical Center, Inc. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Monroe Health Services, Inc. | Current |
Accepting new patients | |
| North Mississippi Medical Center | Current |
Accepting new patients | |
| Clay County Medical Corporation | Current | Accepting new patients | |
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current |
Accepting new patients | |
| Marion Regional Medical Center, Inc. | Current | Accepting new patients | |
| Monroe Health Services, Inc. | Current |
Accepting new patients | |
| Marion Regional Medical Center, Inc | Current |
Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients |
Locations
1336 Military St S
Hamilton, AL 35570
Phone (205) 921-0521
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
589 Garfield St
Tupelo, MS 38801
Phone (601) 680-5565
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321
Interoperability endpoints
- gregparham@nmhs.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R825654 | MS | Yes |
Addresses
Primary practice location
830 South Gloster
Tupelo, MS 38801
Mailing address
PO Box 3294
Tupelo, MS 38803-3294
Phone (662) 377-4394
Other providers in Tupelo, MS
- Katelynn Pannell
- Katlynn Pannell
- Marqueena Pannell
- Michael Alexander Pannell
- Panola Physician Group, LLC
- Park Dental Group - Tupelo PLLC
- Shanti Parkash
- Anna Lauren Parker
- Bryan Parker
- Chad A Parker
All providers in Tupelo, MS · Certified Registered Nurse Anesthetist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.