Individual provider Active NPI

John Bradley Atkins, CRNA

  • Specialist
  • Columbus, MS
National Provider Identifier
1164520425
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
R853414 Issued in MS
Practice address
2520 5TH St N
Columbus, MS 39705-2008
Phone
(662) 244-1000
Fax
(662) 327-9388
NPI assigned
Sep 20, 2006
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 853414 MS
Specialist 174400000X R853414 MS Primary

Addresses

Primary practice location

2520 5TH St N
Columbus, MS 39705-2008

Mailing address

PO Box 8058
Columbus, MS 39705-0007
Phone (662) 574-5539

Other practice location 1

400 Hospital Rd
Starkville, MS 39759-2163
Phone (662) 323-4230

Other identifiers 1

IdentifierTypeStateIssuer
00124674MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040205000426 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 5890688683 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2520 5TH St N
BMH Golden Triangle
Columbus, MS 39705-2008
Phone (662) 244-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.17 of 100Reported as group
Quality
88.62
Promoting interoperability
100
Improvement activities
40
Cost
77.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
853414MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Jul 3, 2019 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Nov 10, 2025 Accepting new patients
Baptist Memorial Hospital - Golden Triangle Inc. Specialist CurrentSince Jul 1, 2003 Accepting new patients
Baptist Memorial Hospital - Golden Triangle Inc. CurrentSince Jul 1, 2003 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Jul 3, 2019 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Nov 10, 2025 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Past Accepting new patients

Locations

400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455

2520 5th St N
Columbus, MS 39705
Phone (662) 224-1000

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

400 Hospital Rd
Starkville, MS 39759
Phone (662) 323-4320

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1164520425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8058",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397050007",
            "telephone_number": "662-574-5539",
            "fax_number": "662-327-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052008",
            "telephone_number": "662-244-1000",
            "fax_number": "662-327-9388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397592163",
            "country_code": "US",
            "telephone_number": "662-323-4230",
            "fax_number": "662-615-2554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "JOHN",
        "middle_name": "BRADLEY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "853414",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "R853414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124674",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.