Individual provider Active NPI

Farren A Windham, CRNA

  • Certified Registered Nurse Anesthetist
  • Meridian, MS
National Provider Identifier
1477576171
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R852116 Issued in MS
Practice address
1102 Constitution Ave
Meridian, MS 39301-4001
Phone
(601) 484-3480
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R852116 MS Primary

Addresses

Primary practice location

1102 Constitution Ave
Meridian, MS 39301-4001

Mailing address

PO Box 2429
Murrells Inlet, SC 29576-2429
Phone (843) 651-2624

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090112000234 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163585548 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gi Alliance Anesthesia of Mississippi PLLCGroup PAC ID 3173963949, 28 clinicians

Practice addresses (Care Compare)

100 Methodist Blvd
Hattiesburg, MS 39402-1295
Phone (601) 268-5185

Merit-based Incentive Payment System (MIPS)

Final score
76.9 of 100Reported as group
Quality
47.44
Promoting interoperability
98
Improvement activities
40
Cost
77.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Magee Benevolent Association Current Accepting new patients
Magee Benevolent Association CurrentSince Jan 1, 2016 Accepting new patients
Southern Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2016 Accepting new patients
Magee Benevoent Association CurrentSince Jan 1, 2016 Accepting new patients
Northstar Anesthesia of Mississippi, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2015 Accepting new patients
Gastrointestinal Associates, P.a. Current Accepting new patients
Gastrointestinal Associates, PA Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Gastrointestinal Associates, P.a. CurrentSince Apr 1, 2022 Accepting new patients
John R. Harper,MD, PA Current Accepting new patients
Gi Alliance Anesthesia of Mississippi PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 Accepting new patients
Nouveau Anesthesia Medical Group Past Accepting new patients

Locations

2510 Lakeland Dr
Flowood, MS 39232
Phone (601) 355-1234

1000 Turtle Creek Dr
Ste 4
Hattiesburg, MS 39402
Phone (601) 268-5189

100 Methodist Hospital Blvd
Hattiesburg, MS 39402
Phone (601) 268-5185

139 Fairfield Dr
Hattiesburg, MS 39402
Phone (601) 450-2401

1421 N State St
Ste 203
Jackson, MS 39202
Phone (601) 355-1234

300 SE 3rd Ave
Magee, MS 39111
Phone (601) 849-5070

234 Magnolia Dr
Raleigh, MS 39153
Phone (601) 374-8145

105 Eaton St
#R
Taylorsville, MS 39168
Phone (601) 785-6786

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477576171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2429",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295762429",
            "telephone_number": "843-651-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 CONSTITUTION AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014001",
            "telephone_number": "601-484-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "FARREN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R852116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.