Individual provider Active NPI

Allison Johnston, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Southaven, MS
National Provider Identifier
1982278735
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
901707 Issued in MS
Practice address
391 Southcrest Cir Ste 108
Southaven, MS 38671-4775
Phone
(662) 349-2659
NPI assigned
May 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 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 901707 MS Primary

Addresses

Primary practice location

391 Southcrest Cir Ste 108
Southaven, MS 38671-4775

Mailing address

1161 Crockett Loop S
Hernando, MS 38632-8368

Other practice location 1

200 Hwy 30 W
New Albany, MS 38652-3112
Phone (662) 538-7631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210927003045 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 2062819493 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
901707MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2025 Accepting new patients
American Anesthesiology of Mississippi LLC CurrentSince Dec 5, 2023 Accepting new patients

Locations

960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1982278735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 CROCKETT LOOP S",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386328368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 SOUTHCREST CIR STE 108",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714775",
            "telephone_number": "662-349-2659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hwy 30 W",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523112",
            "country_code": "US",
            "telephone_number": "662-538-7631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ALLISON",
        "credential": "DNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "901707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.