Individual provider Active NPI

Alyson Lee Dickerson, CRNA

  • Certified Registered Nurse Anesthetist
  • Corinth, MS
National Provider Identifier
1922306935
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R869968 Issued in MS
Practice address
611 Alcorn Dr
Anesthesia Department
Corinth, MS 38834-9321
Phone
(662) 293-1000
Fax
(662) 293-4213
NPI assigned
Mar 1, 2011
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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 R869968 MS Primary

Addresses

Primary practice location

611 Alcorn Dr
Anesthesia Department
Corinth, MS 38834-9321

Mailing address

611 Alcorn Dr
Anesthesia Department
Corinth, MS 38834-9321
Phone (662) 293-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, WV, CA, KS4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20110531000463 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042497067 Reassigns benefits to 6 organizations
I20250825003531 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042497067 Reassigns benefits to 1 organization
I20250903001953 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042497067 Reassigns benefits to 1 organization
I20251016000402 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042497067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Tennessee, HSC, College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Anesthesia LLCGroup PAC ID 8820401136, 2 clinicians
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians
Excelle Anesthesia Services IncGroup PAC ID 4688046774, 41 clinicians
DHS Anesthesia LLCGroup PAC ID 5395017479, 25 clinicians

Practice addresses (Care Compare)

100 Hospital St
Booneville, MS 38829-3354
Phone (662) 720-5000

1710 Harper Rd
Beckley, WV 25801-3357
Phone (304) 256-4100

2215 Truxtun Ave
Bakersfield, CA 93301-3602
Phone (661) 632-5504

589 Garfield St
Tupelo, MS 38801-6301
Phone (662) 680-5565

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95002648CAMDFamily Nurse Practitioner
R869968MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Anesthesia, LLC CurrentSince Dec 2, 2020 Accepting new patients
Clay County Medical Corporation CurrentSince Oct 1, 2025 Accepting new patients
DHS Anesthesia, LLC CurrentSince Aug 11, 2025 Accepting new patients
Premier Anesthesia of Washington, PC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2025 Accepting new patients
Monroe Health Services, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Clay County Medical Corporation CurrentSince Oct 1, 2025 Accepting new patients
Clay County Medical Corporation Current Accepting new patients
Monroe Health Services, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 30, 2025 Accepting new patients
Excelle Anesthesia Services, Inc. CurrentSince Aug 1, 2025 Accepting new patients
North Mississippi Medical Center CurrentSince Oct 1, 2025 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2019 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Oct 1, 2025 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients

Locations

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

100 Hospital St
Booneville, MS 38829
Phone (662) 720-5000

634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

499 Azalea Dr
Oxford, MS 38655
Phone (662) 234-7979

589 Garfield St
Tupelo, MS 38801
Phone (601) 680-5565

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1922306935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349321",
            "telephone_number": "662-293-1000",
            "fax_number": "662-293-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349321",
            "telephone_number": "662-293-1000",
            "fax_number": "662-293-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "ALYSON",
        "middle_name": "LEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R869968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.