NPIMap

Individual provider Active NPI

Andrew B Lott, CRNA

  • Certified Registered Nurse Anesthetist
  • Indianola, MS
National Provider Identifier
1982864930
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R852953 Issued in MS
Practice address
121 E Baker St
Indianola, MS 38751-2450
Phone
(662) 887-5235
Fax
(662) 887-4111
NPI assigned
Jun 12, 2008
Last updated
Jun 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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 R852953 MS Primary

Addresses

Primary practice location

121 E Baker St
Indianola, MS 38751-2450

Mailing address

121 E Baker St
Indianola, MS 38751-2450
Phone (662) 887-5235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080722000390 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527131754 Reassigns benefits to 8 organizations
I20260223003600 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527131754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Health SystemGroup PAC ID 9830593821, 12 clinicians
Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians
North Sunflower Medical CenterGroup PAC ID 7618932294, shared by 11 NPIs, 46 clinicians
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

1400 E Union St
Greenville, MS 38703-3246
Phone (662) 378-3783

211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone (573) 331-3000

840 N Oak Ave
Ruleville, MS 38771-3227

901 E Sunflower Rd
Cleveland, MS 38732-2833
Phone (662) 846-0061

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R852953MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
South Sunflower County Hospital Current Accepting new patients
Saint Francis Medical Center Nurse Anesthetist, Certified Registered CurrentSince Feb 16, 2026 Accepting new patients
South Sunflower County Hospital CurrentSince May 22, 2008 Accepting new patients
Delta Health System Nurse Anesthetist, Certified Registered CurrentSince Mar 16, 2025 Accepting new patients
South Sunflower County Hospital Current Accepting new patients
North Sunflower Medical Center CurrentSince Sep 28, 2019 Accepting new patients
PHC-Cleveland LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 7, 2013 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 12, 2021 Accepting new patients
PHC-Cleveland LLC CurrentSince Aug 7, 2013 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
North Sunflower Medical Center CurrentSince Sep 28, 2019 Accepting new patients
North Sunflower Medical Center Current Accepting new patients
South Sunflower County Hospital CurrentSince May 22, 2008 Accepting new patients
Saint Francis Medical Center CurrentSince Feb 16, 2026 Accepting new patients

Locations

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

1970 Hospital Dr
Clarksdale, MS 38614
Phone (662) 624-3185

901 E Sunflower Rd
Cleveland, MS 38732
Phone (662) 846-0061

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

1400 E Union St
Greenville, MS 38703
Phone (601) 427-0422

121 E Baker St
Indianola, MS 38751
Phone (601) 887-3113

202 S Ruby Ave
Ruleville, MS 38771
Phone (662) 756-2500

840 N Oak Ave
Ruleville, MS 38771
Phone (601) 756-2711

Organizations & group practices 15

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 15

Hospital & facility affiliations 7

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1982864930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E BAKER ST",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512450",
            "telephone_number": "662-887-5235",
            "fax_number": "662-887-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E BAKER ST",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512450",
            "telephone_number": "662-887-5235",
            "fax_number": "662-887-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTT",
        "first_name": "ANDREW",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R852953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.