Individual provider Active NPI

Lewis Rushing

  • Certified Registered Nurse Anesthetist
  • Memphis, TN
National Provider Identifier
1780986133
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R866393 Issued in MS
Practice address
1755 Kirby Pkwy
Suite 330
Memphis, TN 38120-8300
Phone
(901) 725-5846
NPI assigned
Nov 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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 R866393 MS Primary

Addresses

Primary practice location

1755 Kirby Pkwy
Suite 330
Memphis, TN 38120-8300

Mailing address

106 Hope LN
Batesville, MS 38606-7311
Phone (662) 563-0700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120208000650 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759564198 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willow Anesthesia Services LLCGroup PAC ID 9234279183, 52 clinicians
Tupelo Anesthesia Group, PAGroup PAC ID 4587566344, 32 clinicians

Practice addresses (Care Compare)

499 Azalea Dr
Oxford, MS 38655-7901
Phone (662) 234-7979

723 Concordia Ave
Suite 201
Oxford, MS 38655-1991
Phone (662) 377-4394

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R866393MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Hospital North Mississippi, Inc CurrentSince Dec 25, 2011 Accepting new patients
Tupelo Anesthesia Group PA CurrentSince Jan 1, 2026 Accepting new patients
Baptist Memorial Hospital North Mississippi, Inc CurrentSince Dec 25, 2011 Accepting new patients
Willow Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2024 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 12, 2016 Accepting new patients
Medical Anesthesia Group, PA PastSince Feb 24, 1997 Accepting new patients

Locations

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

960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000

499 Azalea Dr
Oxford, MS 38655
Phone (662) 234-7979

2301 S Lamar Blvd
Oxford, MS 38655
Phone (662) 232-8369

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

723 Concordia Ave
Ste 201
Oxford, MS 38655
Phone (662) 432-1490

1211 S Gloster St
Ste B
Tupelo, MS 38801
Phone (662) 266-1670

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1780986133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HOPE LN",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386067311",
            "telephone_number": "662-563-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 KIRBY PKWY",
            "address_2": "SUITE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381208300",
            "telephone_number": "901-725-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHING",
        "first_name": "LEWIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R866393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.