Individual provider Active NPI

Charles Musselwhite, CRNA

  • Certified Registered Nurse Anesthetist
  • Ocean Springs, MS
National Provider Identifier
1598875767
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R741121 Issued in MS
Practice address
3882 Bienville Blvd
Ocean Springs, MS 39564-5803
Phone
(228) 872-6290
Fax
(228) 762-0065
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 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 R741121 MS Primary

Addresses

Primary practice location

3882 Bienville Blvd
Ocean Springs, MS 39564-5803

Mailing address

PO Box 1684
Pascagoula, MS 39568-1684
Phone (228) 762-9080

Other identifiers 6

IdentifierTypeStateIssuer
430064344OtherMSMEDICARE RAILROAD
009994055OtherMSALACAID
0115359MedicaidMS
169045200OtherUSDOL
587210340COtherMSAHS STATE
587210340COtherMSBLUE CROSS

Other names 1

  • Charles Musslewhite Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160113001175 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577462928 Reassigns benefits to 4 organizations
I20250129002230 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577462928 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R741121MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sentry Anesthesia Management, LLC CurrentSince Aug 10, 2024 Accepting new patients
Amsol Anesthetists of Georgia LLC-Hughston Surgical Center Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Anesthesiacare, P.C. CurrentSince May 1, 2023 Accepting new patients
USA Health Anesthesia Billing Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2019 Accepting new patients
Amsol Anesthetists of Georgia, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
University of South Alabama Nurse Anesthetist, Certified Registered CurrentSince Dec 11, 2015 Accepting new patients
University of South Alabama Current Accepting new patients
University of South Alabama Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2016 Accepting new patients

Locations

2890 Dauphin St
Mobile, AL 36606
Phone (205) 764-9697

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

400 Cedar St
Metter, GA 30439
Phone (912) 685-1726

Organizations & group practices 8

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1598875767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1684",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395681684",
            "telephone_number": "228-762-9080",
            "fax_number": "228-762-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3882 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645803",
            "telephone_number": "228-872-6290",
            "fax_number": "228-762-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSELWHITE",
        "first_name": "CHARLES",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R741121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "430064344",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALACAID",
            "identifier": "009994055",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115359",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDOL",
            "identifier": "169045200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHS STATE",
            "identifier": "587210340C",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "587210340C",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "MUSSLEWHITE",
            "credential": "CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.