Active NPI
James Witham Jr., CRNA
- Certified Registered Nurse Anesthetist
- Covington, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN0000009553
- Practice address
- 1995 Highway 51 S
Covington, TN 38019-3635 - Phone
- (901) 475-4550
- NPI assigned
- Sep 26, 2006
- Last updated
- Sep 7, 2010
- 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 | APN0000009553 | TN | Primary |
Addresses
Primary practice location
1995 Highway 51 S
Covington, TN 38019-3635
Mailing address
PO Box 1000 Dept 931
Memphis, TN 38148-0001
Phone (901) 382-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1995 Hwy 51 S
Covington, TN 38019-3635
Phone (901) 844-1590
2200 Union Ave
Memphis, TN 38104-4205
Phone (901) 274-5813
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42955 | TN | MD | Cardiovascular Disease Physician |
| APN0000009553 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Clinic PA | Current | Accepting new patients | |
| Lauderdale Community Hospital LLC | Current | Accepting new patients | |
| Lauderdale Community Hospital LLC | Current | Accepting new patients | |
| Gastroenterology Center of the Midsouth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| East Memphis Anesthesia Services PLC | Current | Accepting new patients | |
| G I Diagnostic and Therapeutic Center LLC | Current | Accepting new patients | |
| Lifelinc Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lauderdale Community Hospital LLC | Current | Accepting new patients | |
| Cah Acquisition Company 11 LLC | Past | Accepting new patients |
Locations
Gastro Onegovt Arhcl
New York, NY 10087
1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621
1310 Wolf Park Dr
Germantown, TN 38138
Phone (901) 624-5151
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
700 W Forest Ave
Jackson, TN 38301
Phone (731) 424-8922
87 Murray Guard Dr
Ste B
Jackson, TN 38305
Phone (731) 664-1375
1325 Eastmoreland Ave
Ste 410
Memphis, TN 38104
Phone (901) 261-6650
2200 Union Ave
Memphis, TN 38104
Phone (901) 274-5813
255 S Pauline St
Memphis, TN 38104
Phone (901) 261-2804
326 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200
326 Asbury Ave
Ste 104
Ripley, TN 38063
Phone (731) 221-2200
340 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/lauderd-6f671ec9
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.
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1801021464
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1578592663
-
dba Associates In Gastroenterology
- Gastroenterology Physician
- Germantown, TN
- NPI 1417932492
Nurse Anesthetist, Certified Registered
-
dba Lauderdale Community Hospital
- Critical Access Hospital
- Ripley, TN
- NPI 1376175687
-
dba Lauderdale Community Hospital
- Emergency Care Clinic/Center
- Ripley, TN
- NPI 1962034272
-
- Certified Registered Nurse Anesthetist
- Covington, TN
- NPI 1336383645
-
- Endoscopy Clinic/Center
- Germantown, TN
- NPI 1760467732
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1285629386
-
dba Lauderdale Community Hospital
- Medicare Defined Swing Bed Hospital Unit
- Ripley, TN
- NPI 1356973663
-
dba Lauderdale Community Clinic
- Surgery Physician
- Ripley, TN
- NPI 1588911986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283817600000",
"number": "1538260732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000 DEPT 931",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381480001",
"telephone_number": "901-382-1200",
"fax_number": "901-382-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 HIGHWAY 51 S",
"city": "COVINGTON",
"state": "TN",
"postal_code": "380193635",
"telephone_number": "901-475-4550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITHAM",
"first_name": "JAMES",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2010-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN0000009553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.