Individual provider Active NPI

David J. Flowers, CRNA

  • Certified Registered Nurse Anesthetist
  • Long Beach, MS
National Provider Identifier
1205894227
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R740159 Issued in MS
Practice address
5123 Mitchell Rd
Long Beach, MS 39560-3201
Phone
(228) 363-9165
NPI assigned
May 1, 2006
Last updated
Jun 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN050736 GA
Certified Registered Nurse Anesthetist 367500000X 95899 CO
Certified Registered Nurse Anesthetist 367500000X 1-063196 AL
Certified Registered Nurse Anesthetist 367500000X 286 AK
Certified Registered Nurse Anesthetist 367500000X 3247 CA
Certified Registered Nurse Anesthetist 367500000X ARNP9242030 FL
Certified Registered Nurse Anesthetist 367500000X 112318 IA
Certified Registered Nurse Anesthetist 367500000X AP04019 LA
Certified Registered Nurse Anesthetist 367500000X R740159 MS Primary
Certified Registered Nurse Anesthetist 367500000X 119430 MO
Certified Registered Nurse Anesthetist 367500000X R54258 NM
Certified Registered Nurse Anesthetist 367500000X 0024166519 VA

Addresses

Primary practice location

5123 Mitchell Rd
Long Beach, MS 39560-3201

Mailing address

5123 Mitchell Rd
Long Beach, MS 39560-3201
Phone (228) 363-9165

Other identifiers 3

IdentifierTypeStateIssuer
GAN605MedicaidSC
0059789MedicaidLA
00110127MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3247CAMDCertified Registered Nurse Anesthetist
95899COMDCertified Registered Nurse Anesthetist
ARNP9242030FLMDCertified Registered Nurse Anesthetist
112318IAMDCertified Registered Nurse Anesthetist
119430MOMDCertified Registered Nurse Anesthetist
R740159MSMDCertified Registered Nurse Anesthetist
R54258NMMDCertified Registered Nurse Anesthetist
0024166519VAMDCertified Registered Nurse Anesthetist
286AKMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology Group of Tennessee, P. C. Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2012 Accepting new patients
Harrison Hma, Inc. Past Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients
Crescent City Anesthesia Services, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Gulfport Outpatient Anesthesia, P.a. Past Accepting new patients
Racine Anesthesia Services, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Parish Anesthesia of Jefferson, L.L.C Nurse Anesthetist, Certified Registered Past Accepting new patients
PHC-Cleveland LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Brevard Anesthesia Services PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Gulfport Anesthesia Services, P.a. Past Accepting new patients

Locations

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

135 W Ravine Rd
Ste 5-B
Kingsport, TN 37660
Phone (423) 224-3460

Organizations & group practices 10

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1205894227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5123 MITCHELL RD",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395603201",
            "telephone_number": "228-363-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5123 MITCHELL RD",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395603201",
            "telephone_number": "228-363-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOWERS",
        "first_name": "DAVID",
        "middle_name": "J.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN050736",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "95899",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-063196",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AK",
            "license": "286",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "3247",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9242030",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "112318",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP04019",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R740159",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "119430",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "R54258",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024166519",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GAN605",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059789",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00110127",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.