Alvin Ray Hamilton Jr., CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R874579 Issued in MS

Practice address

1970 Hospital Dr
Clarksdale, MS 38614-7202

Phone

(662) 624-3533

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crossett Health FoundationGroup PAC ID 9133030117, 23 clinicians

Youngs Professional Services LLCGroup PAC ID 2163524992, 297 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Arkansas Regional Hospital LLC Hospital, El Dorado, AR, CCN 040088

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Crossett Health Foundation

  • Certified Registered Nurse Anesthetist
  • Crossett, AR
  • NPI 1508821547

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Youngs Professional Services LLC

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
  • NPI 1922178599

  AR, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Capital Anesthesia Solutions of Arkansas, LLC

  • Anesthesiology Physician
  • Fayetteville, AR
  • NPI 1174125876

  Nurse Anesthetist, Certified Registered

  NPD
• Crossett Health Foundation

  • Rural Health Clinic/Center
  • Crossett, AR
  • NPI 1639159973
  NPD

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

• South Arkansas Regional Hospital LLC

  • General Acute Care Hospital
  • El Dorado, AR
  • NPI 1780375592
  Care Compare affiliation

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972651727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PICADILLY DR",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062100",
            "telephone_number": "662-563-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 HOSPITAL DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147202",
            "telephone_number": "662-624-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "ALVIN",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R874579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Renaldo Gullick, FNP-C
• Mohamad F Hadidi, M.D.
• Undra L Haggan, NURSE PRACTITIONER
• Haggard Drug Store Inc.
• Clifford Hall, M.D.
• Lakedra T Hampton, MSW
• Africa Joanalene Harris-Johnson, DPT
• Catherine Harris, MSW
• Ieesha Harris, MSW
• Valerie Hartsfield, RPH

• Certified Registered Nurse Anesthetist in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Certified Registered Nurse Anesthetist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.