Samuel White, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R860585 Issued in MS

Practice address

950 Matthew Dr
Waynesboro, MS 39367-2567

Phone

(601) 735-7101

Fax

(601) 735-7181

NPI assigned

Jun 6, 2006

Last updated

Jul 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS, KY, AL3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sweet Dreams Anesthesia PLLCGroup PAC ID 1254757685, 19 clinicians

Commonwealth Anesthesia, PSCGroup PAC ID 5092627521, 181 clinicians

Wayne General HospitalGroup PAC ID 2668457581, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wayne General Hospital Hospital, Waynesboro, MS, CCN 250077

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: swhite390310@direct.stlukeshealth.org

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.

• Sweet Dreams Anesthesia, PLLC

  • Certified Registered Nurse Anesthetist
  • Meridian, MS
  • NPI 1427667724

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Wayne General Hospital

  dba Wayne General Crna

  • Certified Registered Nurse Anesthetist
  • Waynesboro, MS
  • NPI 1093930638

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Commonwealth Anesthesia, PSC

  • Anesthesiology Physician
  • Lexington, KY
  • NPI 1437196300

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Gac Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Columbus, MS
  • NPI 1386112639

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• South Central Clinics, Inc

  dba Ellisville Medical Clinic

  • Family Medicine Physician
  • Ellisville, MS
  • NPI 1801226287
  Medicare reassignment NPD
• Southern Eye Surgery and Laser Center, LLC

  • Anesthesiology Physician
  • Laurel, MS
  • NPI 1295244226
  Medicare reassignment NPD
• Southern Eye Surgery Center LLC

  • Anesthesiology Physician
  • Hattiesburg, MS
  • NPI 1417112277
  Medicare reassignment NPD
• Tombigbee Healthcare Authority

  dba Whitfield Regional Hospital

  • Specialist
  • Demopolis, AL
  • NPI 1578690327
  Medicare reassignment
• Southern Eye Surgery Center LLC

  dba Southern Eye Center of Excellence

  • Ophthalmologic Surgery Clinic/Center
  • Hattiesburg, MS
  • NPI 1073791158
  NPD
• Wayne General Hospital

  dba Wayne General Hospitalist

  • Hospitalist Physician
  • Waynesboro, MS
  • NPI 1699589143
  NPD
• Meridian Surgery Center

  • Ambulatory Fertility Facility
  • Meridian, MS
  • NPI 1366833717
  NPD (past)
• Wayne General Hospital

  dba Waynesboro Family Medicine & Obstetrics

  • Rural Health Clinic/Center
  • Waynesboro, MS
  • NPI 1285882662
  NPD (past)

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

• Wayne General Hospital

  • General Acute Care Hospital
  • Waynesboro, MS
  • NPI 1679559983
  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1619916434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 MATTHEW DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672590",
            "telephone_number": "601-735-7101",
            "fax_number": "601-735-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MATTHEW DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672567",
            "telephone_number": "601-735-7101",
            "fax_number": "601-735-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R860585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02672767",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne General Hospital (Wayne General Eeg)
• Wayne General Hospital (Waynesboro Family Medicine & Obstetrics-NRH)
• Wayne General Hospital (Wayne General Personal Care Services)
• Wayne General Hospital (Wayne General ER Physicians)
• Wayne General Hospsital (Wayne General Ekg)
• Brian K Williams, MD
• Monica Williams, FNP
• Arthur E Wood III, MD
• Thomas Casey Woodring, M.D.

• Certified Registered Nurse Anesthetist in Waynesboro, MS
• Providers in Waynesboro, MS by specialty
• Certified Registered Nurse Anesthetist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.