Individual provider Active NPI

William F Reid, CRNA

  • Certified Registered Nurse Anesthetist
  • Greenwood, MS
National Provider Identifier
1851332209
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R792327 Issued in MS
Practice address
2005 Hwy 82 West
Greenwood, MS 38930
Phone
(662) 455-4523
Fax
(662) 455-3790
NPI assigned
Jun 9, 2006
Last updated
Jul 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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 R792327 MS Primary

Addresses

Primary practice location

2005 Hwy 82 West
Greenwood, MS 38930

Mailing address

2005 Hwy 82 West
Greenwood, MS 38930
Phone (662) 455-4523

Other identifiers 4

IdentifierTypeStateIssuer
00116958MedicaidMS
331003463OtherMSTAX ID#
640901082OtherMSTAX ID#
430078861OtherMSRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111122000788 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507055647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coleman Cataract and Eye Laser Surgery Center, IncGroup PAC ID 5890863039, shared by 2 NPIs, 2 clinicians

Practice addresses (Care Compare)

2005 Hwy 82 W
Greenwood, MS 38930-2720
Phone 6624554523508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Coleman Cataract and Eye Laser Surgery Center, Inc. CurrentSince Jan 1, 1989 Accepting new patients
Gastroenterology Consultants of Tuscaloosa LLC Current Accepting new patients
Coleman Cataract and Eye Laser Surgery Center, Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 1989 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Prairie Anesthesia, PLLC Past Accepting new patients
Greenwood Leflore Hospital Past Accepting new patients

Locations

100 Rice Mine Rd N
Ste E
Tuscaloosa, AL 35406
Phone (205) 345-0010

1401 River Rd
Greenwood, MS 38930
Phone (662) 459-2603

2005 Highway 82 W
Greenwood, MS 38930
Phone (662) 455-3790

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1851332209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 HWY 82 WEST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "38930",
            "telephone_number": "662-455-4523",
            "fax_number": "662-455-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 HWY 82 WEST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "38930",
            "telephone_number": "662-455-4523",
            "fax_number": "662-455-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "WILLIAM",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R792327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116958",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "331003463",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "640901082",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430078861",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.