Individual provider Active NPI

Caleb Andrew Smart, CRNA

  • Certified Registered Nurse Anesthetist
  • West Point, MS
National Provider Identifier
1669134698
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
901743 Issued in MS
Practice address
150 Medical Center Dr
West Point, MS 39773-0428
Phone
(662) 495-2300
NPI assigned
Oct 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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 901743 MS Primary

Addresses

Primary practice location

150 Medical Center Dr
West Point, MS 39773-0428

Mailing address

138 Road 1285
Nettleton, MS 38858-8104
Phone (662) 321-0760

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220315001795 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991190753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clay County Medical CorporationGroup PAC ID 4789649609, 36 clinicians

Practice addresses (Care Compare)

111 Medical Ctr Dr
West Point, MS 39773-0428
Phone (662) 494-1509

150 Medical Ctr Dr
West Point, MS 39773-0428
Phone (601) 494-2321

187 Medical Ctr Dr
West Point, MS 39773-0428
Phone (662) 492-3175

Hospital & facility affiliations

  • Clay County Medical Corporation Hospital, West Point, MS, CCN 250067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clay County Medical Corporation CurrentSince May 31, 2022 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Clay County Medical Corporation CurrentSince May 31, 2022 Accepting new patients
Clay County Medical Corporation Current Accepting new patients

Locations

634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393

1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017

Interoperability endpoints

  • Direct secure messaging: calebsmart@nmhs.medalliesdirect.net

Organizations & group practices 9

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": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1669134698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 ROAD 1285",
            "city": "NETTLETON",
            "state": "MS",
            "postal_code": "388588104",
            "telephone_number": "662-321-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MEDICAL CENTER DR",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397730428",
            "telephone_number": "662-495-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMART",
        "first_name": "CALEB",
        "middle_name": "ANDREW",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "901743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.