Active NPI
Eric O Payne, CRNA
- Certified Registered Nurse Anesthetist
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R871191
- Practice address
- 1421 N State St
Suite 203
Jackson, MS 39202-1658 - Phone
- (601) 355-1234
- Fax
- (601) 326-3559
- NPI assigned
- Aug 31, 2006
- Last updated
- May 15, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R871191 | MS | Primary |
Addresses
Primary practice location
1421 N State St
Suite 203
Jackson, MS 39202-1658
Mailing address
1421 N State St Ste 203
Jackson, MS 39202-1658
Phone (601) 355-1234
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00882999 | Other | MS | RR MEDICIARE |
| 07636002 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1030 River Oaks Dr
Flowood, MS 39232-9553
Phone (601) 932-1030
2500 N State St
Jackson, MS 39216-4500
Phone (601) 898-4404
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 67.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Vein Care of Mississippi, LLC | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Sweet Dreams Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Consultants PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
1421 N State St
Ste 203
Jackson, MS 39202
Phone (601) 355-1234
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321
1001 14th St
Meridian, MS 39301
Phone (601) 482-9224
204 W Jackson St
#A
Ridgeland, MS 39157
Phone (601) 291-5290
2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1750300836
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
dba Southern Vein Care
- Vascular Surgery Physician
- Ridgeland, MS
- NPI 1104323534
-
- Certified Registered Nurse Anesthetist
- Meridian, MS
- NPI 1427667724
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1881123123
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400112000000",
"number": "1255443453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 N STATE ST STE 203",
"city": "JACKSON",
"state": "MS",
"postal_code": "392021658",
"telephone_number": "601-355-1234",
"fax_number": "601-326-3559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 N STATE ST",
"address_2": "SUITE 203",
"city": "JACKSON",
"state": "MS",
"postal_code": "392021658",
"telephone_number": "601-355-1234",
"fax_number": "601-326-3559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "ERIC",
"middle_name": "O",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2014-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R871191",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICIARE",
"identifier": "P00882999",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07636002",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.