Active NPI
Jeanne Ann Rea, M.D.
- Anesthesiology Physician
- McComb, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 09186
- Practice address
- 215 Marion Ave
McComb, MS 39648-2705 - Phone
- (601) 249-5500
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 53061 | TN | |
| Anesthesiology Physician | 207L00000X | 09186 | MS | Primary |
Addresses
Primary practice location
215 Marion Ave
McComb, MS 39648-2705
Mailing address
PO Box 4507
Jackson, MS 39296-4507
Phone (601) 936-0682
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00012932 | Medicaid | MS | |
| 050057449 | Other | MS | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Mississippi Medical College, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2451 Fillingim St
Mobile, AL 36617-2238
Phone (251) 471-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Tennessee, P.C. | Anesthesiology | Current | Accepting new patients |
| McComb Anesthesia Associates, LLP | Anesthesiology | Current | Accepting new patients |
| Physynergy, LLC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Mississippi, LLC | Anesthesiology | Current | Accepting new patients |
| McReynolds Anesthesia, PA | Current | Accepting new patients | |
| USA Health Anesthesia Billing Services, LLC | Anesthesiology | Current | Accepting new patients |
Locations
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
2520 5th St N
Columbus, MS 39705
Phone (662) 224-1000
640 Leigh Dr
Columbus, MS 39705
Phone (662) 328-7123
215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180
2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001
2000 Brookside Dr
Kingsport, TN 37660
Phone (423) 857-7144
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278
2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1629635818
-
- Anesthesiology Physician
- McComb, MS
- NPI 1619916533
-
- Pain Medicine (Anesthesiology) Physician
- Columbus, MS
- NPI 1952560336
-
- Anesthesiology Physician
- Natchez, MS
- NPI 1124415567
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Anesthesiology Physician
- Shelbyville, TN
- NPI 1124455969
-
- Anesthesiology Physician
- Huntsville, AL
- NPI 1134465560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1619084936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4507",
"city": "JACKSON",
"state": "MS",
"postal_code": "392964507",
"telephone_number": "601-936-0682",
"fax_number": "601-936-0686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 MARION AVE",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396482705",
"telephone_number": "601-249-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REA",
"first_name": "JEANNE",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "53061",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MS",
"license": "09186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00012932",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "050057449",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.