Jackson Anesthesia Associates PA
NPI 1780737577ActiveOrganization· Anesthesiology· Jackson, MS
Anesthesiology in Jackson, Mississippi, registered in NPPES in January 2007. The authorized official on file is Joyce Martin, Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780737577 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2007 |
| Last updated in NPPES | Nov 18, 2022 |
| Certified by provider | Nov 18, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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