Active NPI
Terance Lemont Hardeman, CRNA
- Certified Registered Nurse Anesthetist
- Pearl, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R874872
- Practice address
- 125 Amanda Dr
Pearl, MS 39208-7009 - Phone
- (601) 331-1808
- Fax
- (601) 825-6020
- NPI assigned
- Dec 19, 2010
- 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 | R874872 | MS | Primary |
Addresses
Primary practice location
125 Amanda Dr
Pearl, MS 39208-7009
Mailing address
125 Amanda Dr
Pearl, MS 39208-7009
Phone (601) 331-1808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01233824 | Other | MS | RAILROAD MEDICARE |
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
- University of Alabama School of Medicine, 2010
- 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)
960 Avent Dr
Grenada, MS 38901-5230
Phone (662) 227-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 67.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R874872 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Baptist Jackson Heart Cardiology Clinic-Yazoo City | Current | Accepting new patients | |
| Anesthesia Consultants PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi-University of Mississippi Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Foundation of Central Ms | Current | Accepting new patients | |
| State of Mississippi-University of Mississippi Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Perioperative Services of Mississippi, LLC | Current | Accepting new patients | |
| Jackson Anesthesia Associates PA | Current | Accepting new patients | |
| Medical Foundation of Central Mississippi, Inc. | Current | Accepting new patients |
Locations
350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500
2550 Flowood Dr
Ste 400
Flowood, MS 39232
Phone (601) 933-9521
1053 River Oaks Dr
#C
Flowood, MS 39232
Phone (601) 969-1430
960 Avent Dr
#J
Grenada, MS 38901
Phone (662) 227-6450
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165
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.
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1750300836
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1780737577
-
dba Baptist Medical Clinics
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1881123123
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
dba Ummc-Grenada Crna Services
- Certified Registered Nurse Anesthetist
- Grenada, MS
- NPI 1831520691
Nurse Anesthetist, Certified Registered
-
- Cardiovascular Disease Physician
- Jackson, MS
- NPI 1831462217
-
dba Baptist Medical Clinic-Brandon
- Family Medicine Physician
- Brandon, MS
- NPI 1114264264
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Nurse Practitioner
- Jackson, MS
- NPI 1699857433
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387152000000",
"number": "1659674356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 AMANDA DR",
"city": "PEARL",
"state": "MS",
"postal_code": "392087009",
"telephone_number": "601-331-1808",
"fax_number": "601-825-6020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 AMANDA DR",
"city": "PEARL",
"state": "MS",
"postal_code": "392087009",
"telephone_number": "601-331-1808",
"fax_number": "601-825-6020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDEMAN",
"first_name": "TERANCE",
"middle_name": "LEMONT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-19",
"last_updated": "2013-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R874872",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01233824",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pearl, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.