Active NPI
Michael C Roberson, CRNA
- Certified Registered Nurse Anesthetist
- Madison, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R853495
- Practice address
- 1026 Baptist Cir Ste 101
Madison, MS 39110-2028 - Phone
- (601) 668-4938
- NPI assigned
- Feb 26, 2007
- 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 | R853495 | MS | Primary |
Addresses
Primary practice location
1026 Baptist Cir Ste 101
Madison, MS 39110-2028
Mailing address
455 Crossgates Blvd Apt 232
Brandon, MS 39042-2560
Phone (601) 668-4938
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00125458 | Medicaid | MS |
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
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1030 River Oaks Dr
Flowood, MS 39232-9553
Phone (601) 932-1030
1190 N State St
Jackson, MS 39202-2413
Phone (601) 968-1790
1225 N State St
Ms Baptist Medical Center
Jackson, MS 39202-2064
Phone (601) 317-2802
Hospital & facility affiliations
- Merit Health River Oaks
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R853495 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perioperative Services of Mississippi, LLC | Current | Accepting new patients | |
| Anesthesia Consultants PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Foundation of Central Mississippi, Inc. | Current | Accepting new patients | |
| Medical Foundation of Central Ms | Current | Accepting new patients | |
| Mississippi Baptist Medical Center, Inc. | Current | Accepting new patients | |
| Jackson Anesthesia Associates PA | Current | Accepting new patients | |
| Physicians Anesthesia Group Staffing, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mississippi Baptist Medical Center, Inc. | Current | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500
1053 River Oaks Dr
#C
Flowood, MS 39232
Phone (601) 969-1430
501 Marshall St
Ste 301
Jackson, MS 39202
1190 N State St
Ste 102
Jackson, MS 39202
Phone (601) 968-1790
1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383
1026 Baptist Cir
Ste 101
Madison, MS 39110
Phone (601) 353-2020
2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001
Interoperability endpoints
- mroberson219397@ummc.direct-ci.com
Organizations & group practices 8
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 1881123123
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1558102772
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1780737577
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
-
- Neurology Physician
- Jackson, MS
- NPI 1467589556
-
- Family Medicine Physician
- Brandon, MS
- NPI 1114264264
-
- Community/Retail Pharmacy
- Jackson, MS
- NPI 1255882890
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Flowood, MS
- NPI 1396792032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750982400000",
"number": "1669508263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 CROSSGATES BLVD APT 232",
"city": "BRANDON",
"state": "MS",
"postal_code": "390422560",
"telephone_number": "601-668-4938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 BAPTIST CIR STE 101",
"city": "MADISON",
"state": "MS",
"postal_code": "391102028",
"telephone_number": "601-668-4938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERSON",
"first_name": "MICHAEL",
"middle_name": "C",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R853495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00125458",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.