Individual provider Active NPI

Angela D. McCoy, CRNA

  • Certified Registered Nurse Anesthetist
  • Southaven, MS
National Provider Identifier
1538394366
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
234520 Issued in AR
Practice address
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone
(662) 772-4333
Fax
(334) 244-1830
NPI assigned
May 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R858272 MS
Certified Registered Nurse Anesthetist 367500000X 234520 AR Primary
Certified Registered Nurse Anesthetist 367500000X 25237 TN

Addresses

Primary practice location

7601 Southcrest Pkwy
Southaven, MS 38671-4739

Mailing address

PO Box 235022
Montgomery, AL 36123-5022
Phone (334) 386-2053

Other practice location 1

877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, CA, AR, KS5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20100722000080 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052443314 Reassigns benefits to 3 organizations
I20190529003013 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052443314 Reassigns benefits to 3 organizations
I20231101000930 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052443314 Reassigns benefits to 1 organization
I20250924000894 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052443314 Reassigns benefits to 1 organization
I20251002001851 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052443314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Arkansas College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Anesthesia LLCGroup PAC ID 8820401136, 2 clinicians
Excelle Anesthesia Services IncGroup PAC ID 4688046774, 41 clinicians
Premier Anesthesia of Washington, PCGroup PAC ID 1153823083, 37 clinicians

Practice addresses (Care Compare)

100 Hospital St
Booneville, MS 38829-3354
Phone (662) 720-5000

2215 Truxtun Ave
Bakersfield, CA 93301-3602
Phone (661) 632-5504

400 S Santa Fe Ave
Salina, KS 67401-4144
Phone (678) 690-7816

Hospital & facility affiliations

  • Mercy Hospital Hospital, Bakersfield, CA, CCN 050295

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
64.58
Improvement activities
40
Cost
77.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95001904CAMDAdult Health Nurse Practitioner
R858272MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Regional One Physicians Inc Nurse Anesthetist, Certified Registered CurrentSince May 28, 2019 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2019 Accepting new patients
Lifelinc Anesthesia II, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 12, 2023 Accepting new patients
Premier Anesthesia of Washington, PC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2025 Accepting new patients
Premier Anesthesia of Arkansas Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2025 Accepting new patients
Anchor Anesthesia, LLC CurrentSince Feb 1, 2021 Accepting new patients
Ut Regional One Physicians Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Excelle Anesthesia Services, Inc. CurrentSince Sep 9, 2023 Accepting new patients
Magnolia Regional Health Center Past Accepting new patients

Locations

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

901 Olive Dr
Bakersfield, CA 93308
Phone (661) 215-7500

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

100 Hospital St
Booneville, MS 38829
Phone (662) 720-5000

634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

499 Azalea Dr
Oxford, MS 38655
Phone (662) 234-7979

7600 Airways Blvd
Ste D
Southaven, MS 38671
Phone (662) 349-7477

2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000

877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893

3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1538394366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235022",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361235022",
            "telephone_number": "334-386-2053",
            "fax_number": "334-244-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 SOUTHCREST PKWY",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714739",
            "telephone_number": "662-772-4333",
            "fax_number": "334-244-1830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "877 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381032807",
            "country_code": "US",
            "telephone_number": "901-545-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "ANGELA",
        "middle_name": "D.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-22",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R858272",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "234520",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "25237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.