Individual provider Active NPI

Stacey S George, CRNA

  • Certified Registered Nurse Anesthetist
  • West Point, MS
National Provider Identifier
1477799708
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R869946 Issued in MS
Practice address
835 Medical Center Dr
West Point, MS 39773-9320
Phone
(662) 495-2300
Fax
(662) 495-2361
NPI assigned
Dec 16, 2008
Last updated
Dec 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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 R869946 MS Primary

Addresses

Primary practice location

835 Medical Center Dr
West Point, MS 39773-9320

Mailing address

835 Medical Center Dr
West Point, MS 39773-9320
Phone (662) 495-2300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081222000618 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759443922 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gac Anesthesia LLCGroup PAC ID 4587902663, 5 clinicians

Practice addresses (Care Compare)

600 Leigh Dr
Columbus, MS 39705-3014
Phone (662) 327-7525

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R869946MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
DHS Anesthesia, LLC CurrentSince Nov 4, 2019 Accepting new patients
Gac Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 9, 2022 Accepting new patients
Baptist Memorial Hospital - Golden Triangle Inc. CurrentSince Sep 1, 2021 Accepting new patients
Tupelo Anesthesia Group PA CurrentSince Jun 15, 2021 Accepting new patients
Clay County Medical Corporation Current Accepting new patients
Baptist Memorial Hospital - Golden Triangle Inc. CurrentSince Sep 1, 2021 Accepting new patients
McReynolds Anesthesia, PA CurrentSince Aug 1, 2021 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

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

600 Leigh Dr
Columbus, MS 39705
Phone (662) 327-7525

640 Leigh Dr
Columbus, MS 39705
Phone (662) 328-7123

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

Organizations & group practices 9

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": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1477799708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 MEDICAL CENTER DR",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397739320",
            "telephone_number": "662-495-2300",
            "fax_number": "662-495-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 MEDICAL CENTER DR",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397739320",
            "telephone_number": "662-495-2300",
            "fax_number": "662-495-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "STACEY",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R869946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.