Active NPI
North Mississippi Anesthesia, LLC
- Anesthesiology Physician
- Tupelo, MS
National Provider Identifier
1871058792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- NORTH MISSISSIPPI ANESTHESIA, LLC
- Practice address
- 1211 S Gloster St Ste B
Tupelo, MS 38801-6535 - Phone
- (662) 266-1670
- NPI assigned
- Feb 5, 2019
- Last updated
- Feb 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert E McCarville
- Title
- Administrator
- Phone
- (662) 432-1490
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NU | ||
| Anesthesiology Physician | 207L00000X | NU | Primary |
Addresses
Primary practice location
1211 S Gloster St Ste B
Tupelo, MS 38801-6535
Mailing address
2808 S Ingram Mill Rd BLDG B
Springfield, MO 65804-4017
Phone (417) 889-2040
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Tupelo, MS
- NPI 1619139474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582243200000",
"number": "1871058792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 S INGRAM MILL RD BLDG B",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044017",
"telephone_number": "417-889-2040",
"fax_number": "417-719-7896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 S GLOSTER ST STE B",
"city": "TUPELO",
"state": "MS",
"postal_code": "388016535",
"telephone_number": "662-266-1670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH MISSISSIPPI ANESTHESIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-05",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A",
"authorized_official_last_name": "MCCARVILLE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "662-432-1490"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
- Sally Reagan Norman, MS
- Norris V Crump MD Internal Medicine PA
- North East Orthopaedics PA
- North Mississippi Allergy and Asthma Center PLLC
- North Mississippi Ambulatory Surgery Center LLC
- North Mississippi Baromedical
- North Mississippi Clinics LLC (Cardiology Associates of North MS Clinic)
- North Mississippi Clinics LLC (Cardiology Associates of North MS Clinic)
- North Mississippi Electrophysiology, LLC
- North Mississippi Emergency Services, Inc. (Care Flight)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.