Active NPI
Trevor Shirley
- Certified Registered Nurse Anesthetist
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 902003
- Practice address
- 1314 19TH Ave
Meridian, MS 39301-4116 - Phone
- (601) 483-0011
- NPI assigned
- Sep 12, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 902003 | MS | Primary |
Addresses
Primary practice location
1314 19TH Ave
Meridian, MS 39301-4116
Mailing address
5258A Wright Spur Rd
Toomsuba, MS 39364-9716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 16TH Ave
Meridian, MS 39301-4209
Phone (601) 485-6325
1800 12TH St
Meridian, MS 39301-4158
Phone (601) 484-6700
Hospital & facility affiliations
- Ochsner Rush Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902003 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Foundation, Inc. | Current | Accepting new patients | |
| Medical Foundation, Inc. | Current | Accepting new patients | |
| Meridian Anesthesiology Group, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1200 16th Ave
Meridian, MS 39301
Phone (601) 703-1901
1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011
2401 16th St
Meridian, MS 39301
Phone (601) 482-4181
1800 12th St
Meridian, MS 39301
Phone (601) 483-0011
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Meridian, MS
- NPI 1609820539
-
- Anesthesiology Physician
- Meridian, MS
- NPI 1639181019
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Meridian, MS
- NPI 1700917994
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Meridian, MS
- NPI 1770543399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1912878141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5258A WRIGHT SPUR RD",
"city": "TOOMSUBA",
"state": "MS",
"postal_code": "393649716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 19TH AVE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014116",
"telephone_number": "601-483-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRLEY",
"first_name": "TREVOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-12",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "902003",
"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 Sep 12, 2025; 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.