Individual provider Active NPI

Robert E Gramling III, CRNA

  • Certified Registered Nurse Anesthetist
  • Meridian, MS
National Provider Identifier
1891950283
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R862292 Issued in MS
Practice address
1926 23Rd Ave
East Mississippi Endoscopy Center
Meridian, MS 39301-3107
Phone
(601) 485-1131
NPI assigned
Jul 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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 R862292 MS Primary

Addresses

Primary practice location

1926 23Rd Ave
East Mississippi Endoscopy Center
Meridian, MS 39301-3107

Mailing address

101 Greenbriar St
Starkville, MS 39759-4302
Phone (601) 408-4446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090311000412 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012073349 Reassigns benefits to 3 organizations
I20131216000181 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012073349

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boa Vida Hospital of Aberdeen Ms LLCGroup PAC ID 0244505840, shared by 26 NPIs, 70 clinicians

Practice addresses (Care Compare)

400 S Chestnut St
Aberdeen, MS 39730-3335
Phone (662) 369-2455

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Jan 1, 2019 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Jan 1, 2019 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Jan 15, 2026 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Past Accepting new patients

Locations

400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455

40128 Hamilton Rd
Hamilton, MS 39746
Phone (662) 343-5129

Organizations & group practices 5

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": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1891950283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GREENBRIAR ST",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397594302",
            "telephone_number": "601-408-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 23RD AVE",
            "address_2": "EAST MISSISSIPPI ENDOSCOPY CENTER",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013107",
            "telephone_number": "601-485-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMLING",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R862292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.