Deep South Anesthesia, Inc
NPI 1164738712ActiveOrganization· Nurse Anesthetist, Certified Registered· Picayune, MS
Nurse Anesthetist, Certified Registered in Picayune, Mississippi, registered in NPPES in August 2010. The authorized official on file is Jason Todd Lane, CRNA, Crna/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164738712 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 20, 2010 |
| Last updated in NPPES | Aug 20, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
Other nurse anesthetists in Picayune
- 1588747489
- 1053447037