NPIMap

Gerald Todd Adcock, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · McComb, MS

NPI 1821046145 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1821046145
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
R853069 (MS)
Practice address
215 Marion Ave
McComb, MS 39648-2705
Phone
(601) 249-5500
Fax
(601) 249-1709
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 31

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.

View all 31

Hospital & facility affiliations 2

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

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Mississippi - University of Mississippi Medical Center (956 clinicians)
Kings Daughters Medical Center (75 clinicians)
Physicians Anesthesia Group, P.a. (54 clinicians)

Practice addresses (Care Compare)

2500 N State St
Jackson, MS 39216-4500
Phone (601) 898-4404

427 Hwy 51 N
Brookhaven, MS 39601-2350
Phone (601) 833-6011

971 Lakeland Dr
Jackson, MS 39216-4643
Phone (601) 200-2000

Hospital & facility affiliations

  • King'S Daughters Medical Center-Brookhaven Hospital · Brookhaven, MS · CCN 250057
  • University of Mississippi Med Center Hospital · Jackson, MS · CCN 250001

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100 (group)
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20060522000123 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658382015 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R853069MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Center Nurse Anesthetist, Certified Registered Current
since Sep 1, 2025		 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
State of Mississippi-University of Mississippi Medical Center Nurse Anesthetist, Certified Registered Current
since Jul 7, 2021		 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current
since Jul 7, 2021		 Accepting new patients
King'S Daughters Medical Center Current
since Sep 1, 2025		 Accepting new patients

Locations

427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R853069 MS Yes

Addresses

Primary practice location

215 Marion Ave
McComb, MS 39648-2705

Mailing address

215 Marion Ave
McComb, MS 39648-2705
Phone (601) 249-5500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821046145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MARION AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482705",
            "telephone_number": "601-249-5500",
            "fax_number": "601-249-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MARION AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482705",
            "telephone_number": "601-249-5500",
            "fax_number": "601-249-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADCOCK",
        "first_name": "GERALD",
        "middle_name": "TODD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R853069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

All providers in McComb, MS · Certified Registered Nurse Anesthetist in Mississippi

Sources for this page

Verify at the official NPI Registry.