Callie Bridges, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Jackson, MS
NPI 1801436951 · NPPES record last updated Jan 7, 2020
Key facts
- NPI
- 1801436951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 894377 (MS)
- Practice address
- 969 Lakeland Dr
Jackson, MS 39216-4606 - Phone
- (601) 200-2000
- NPI assigned
- Jan 7, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians Anesthesia Group, P.a.
Practice addresses (Care Compare)
971 Lakeland Dr
Jackson, MS 39216-4643
Phone (601) 200-2000
Hospital & facility affiliations
- St Dominic-Jackson Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200225001953 | MS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2860829298 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 894377 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Anesthesia Group, P.a. | Current |
Accepting new patients |
Locations
971 Lakeland Dr
Jackson, MS 39216
Phone (601) 939-5922
969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 894377 | MS | Yes |
Addresses
Primary practice location
969 Lakeland Dr
Jackson, MS 39216-4606
Mailing address
PO Box 235019
Montgomery, AL 36123-5019
Other providers in Jackson, MS
- Sheryl Smith Brewer
- Charles Henry Brewerton
- Brady Brian
- Bridgecare Health Navigators, LLC
- Sarah Grace Bridgeman
- Darby Grace Bridges
- Eric W. Bridges
- Holly M Bridges
- James Luke Bridges
- Joseph Scott Bridges
All providers in Jackson, MS · Certified Registered Nurse Anesthetist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.