Active NPI
Harold J Grissom, CRNA
- Certified Registered Nurse Anesthetist
- Columbus, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R857989
- Practice address
- 2520 5TH St N
Columbus, MS 39705-2008 - Phone
- (662) 244-1000
- Fax
- (662) 327-6004
- NPI assigned
- Jan 24, 2008
- 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 | R857989 | MS | Primary |
Addresses
Primary practice location
2520 5TH St N
Columbus, MS 39705-2008
Mailing address
29 Creamery LN
Easton, MD 21601-3137
Phone (800) 222-1335
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149323637 | Other | MS | TRI-CARE |
| 04438041 | 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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Mississippi - University of Mississippi Medical Center
Practice addresses (Care Compare)
2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-4775
2520 5TH St N
BMH Golden Triangle
Columbus, MS 39705-2008
Phone (662) 244-1000
Hospital & facility affiliations
- BMH-Golden Triangle
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.17 of 100
- Quality
- 88.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gac Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Baptist Memorial Hospital - Golden Triangle Inc. | Current | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms LLC | Current | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms, LLC | Current | Accepting new patients | |
| Baptist Memorial Hospital - Golden Triangle Inc. | Current | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms, LLC | Past | Accepting new patients |
Locations
29 Creamery Ln
Easton, MD 21601
Phone (410) 924-7912
400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455
2520 5th St N
Columbus, MS 39705
Phone (662) 224-1000
600 Leigh Dr
Columbus, MS 39705
Phone (662) 327-7525
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Columbus, MS
- NPI 1609830173
-
- Multi-Specialty Clinic/Center
- Aberdeen, MS
- NPI 1710405741
-
- Certified Registered Nurse Anesthetist
- Columbus, MS
- NPI 1386112639
Nurse Anesthetist, Certified Registered
-
- Specialist
- Columbus, MS
- NPI 1417088832
-
- Community/Retail Pharmacy
- Aberdeen, MS
- NPI 1134858269
-
- Rural Health Clinic/Center
- Aberdeen, MS
- NPI 1245757301
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, MS
- NPI 1609830173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273708800000",
"number": "1578740205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 CREAMERY LN",
"city": "EASTON",
"state": "MD",
"postal_code": "216013137",
"telephone_number": "800-222-1335",
"fax_number": "800-222-1335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 5TH ST N",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397052008",
"telephone_number": "662-244-1000",
"fax_number": "662-327-6004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRISSOM",
"first_name": "HAROLD",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-24",
"last_updated": "2010-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R857989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI-CARE",
"identifier": "149323637",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04438041",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.