Individual provider Active NPI

Eric L. Butler, CRNA

  • Certified Registered Nurse Anesthetist
  • Meridian, MS
National Provider Identifier
1699757872
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R861940 Issued in MS
Practice address
1314 19TH Ave
Meridian, MS 39301-4116
Phone
(601) 703-9687
Fax
(601) 703-9920
NPI assigned
Nov 15, 2005
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R861940 MS Primary
Certified Registered Nurse Anesthetist 367500000X 4043426 KY

Addresses

Primary practice location

1314 19TH Ave
Meridian, MS 39301-4116

Mailing address

1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 703-4282

Other practice location 1

415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone (601) 261-3606

Other practice location 2

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 852-5851

Other identifiers 1

IdentifierTypeStateIssuer
01521319MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL, KY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20051129000546 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305866872 Reassigns benefits to 8 organizations
I20230721003382 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305866872 Reassigns benefits to 1 organization
I20251006002884 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305866872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Foundation IncGroup PAC ID 9234043712, 211 clinicians
Hattiesburg Clinic PAGroup PAC ID 5193706794, 525 clinicians

Practice addresses (Care Compare)

1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 484-6700

2401 16TH St
Meridian, MS 39301-3950
Phone (601) 482-4181

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 852-5851

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
5499NCMDGeneral Practice Dentistry
R861940MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Laird Hospital, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Kemper Cah, Inc CurrentSince Dec 10, 2014 Accepting new patients
Rush Medical Foundation CurrentSince Jan 1, 2016 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Kemper Cah, Inc. Nurse Anesthetist, Certified Registered Current Accepting new patients
Southeastern Anesthesia Services LLC CurrentSince Aug 22, 2023 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Laird Hospital, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Rush Medical Foundation Nurse Anesthetist, Certified Registered Current Accepting new patients
Meridian Anesthesiology Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2017 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Hattiesburg Clinic PA CurrentSince Oct 27, 2025 Accepting new patients
Rush Hospital/Butler, Inc CurrentSince Jun 12, 2023 Accepting new patients
Rush Hospital/Butler, Inc CurrentSince Jun 12, 2023 Accepting new patients
Laird Hospital, Inc. Nurse Anesthetist, Certified Registered Current Accepting new patients
Rush Medical Foundation CurrentSince Jan 1, 2016 Accepting new patients
Hattiesburg Clinic, PA CurrentSince Oct 27, 2025 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 9, 2017 Accepting new patients

Locations

401 Vanity Fair Ave
Butler, AL 36904
Phone (205) 459-9100

7752 Solution Ctr
Chicago, IL 60677

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874

14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

1200 16th Ave
Meridian, MS 39301
Phone (601) 703-1901

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

1926 23rd Ave
Meridian, MS 39301
Phone (601) 485-1131

5002 Highway 39 N
Bldg D
Meridian, MS 39301
Phone (601) 481-7070

1106 Central Dr
Philadelphia, MS 39350
Phone (601) 656-6821

603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1699757872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 19TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014116",
            "telephone_number": "601-703-4282",
            "fax_number": "601-703-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 19TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014116",
            "telephone_number": "601-703-9687",
            "fax_number": "601-703-9920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 S 28th Ave",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394017246",
            "country_code": "US",
            "telephone_number": "601-261-3606",
            "fax_number": "601-579-5240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021675",
            "country_code": "US",
            "telephone_number": "502-852-5851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ERIC",
        "middle_name": "L.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R861940",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "4043426",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01521319",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.