Individual provider Active NPI

Terance Lemont Hardeman, CRNA

  • Certified Registered Nurse Anesthetist
  • Pearl, MS
National Provider Identifier
1659674356
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R874872 Issued in MS
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

Updated by the provider on Dec 16, 2013

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 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

IdentifierTypeStateIssuer
P01233824OtherMSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110406000663 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860676418 Reassigns benefits to 6 organizations

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 CenterGroup PAC ID 1850293036, shared by 23 NPIs, 956 clinicians

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 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R874872MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Baptist Jackson Heart Cardiology Clinic-Yazoo City CurrentSince Nov 12, 2016 Accepting new patients
Anesthesia Consultants PA Nurse Anesthetist, Certified Registered CurrentSince May 1, 2017 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Mar 9, 2011 Accepting new patients
State of Mississippi-University of Mississippi Medical Center Nurse Anesthetist, Certified Registered CurrentSince Apr 22, 2019 Accepting new patients
Medical Foundation of Central Ms CurrentSince Nov 12, 2016 Accepting new patients
State of Mississippi-University of Mississippi Medical Center Nurse Anesthetist, Certified Registered CurrentSince Mar 9, 2011 Accepting new patients
Perioperative Services of Mississippi, LLC CurrentSince Aug 15, 2023 Accepting new patients
Jackson Anesthesia Associates PA CurrentSince May 1, 2017 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.

Hospital & facility affiliations 1

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

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.

Verify at the official NPI Registry.