CLIFFORD BLAYLOCK CRNA
NPI 1043259146
Nurse Anesthetist, Certified Registered in Oxford, MS
About Clifford Blaylock Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLIFFORD BLAYLOCK CRNA (NPI 1043259146) is an individual nurse anesthetist, certified registered in Oxford, Mississippi, licensed in Mississippi (R782755) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Clifford Blaylock Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Clifford Blaylock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oxford, MS 38655
- Reassigned Medicare billing, Mississippi enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Clifford Blaylock's NPI number?
The NPI number for Clifford Blaylock is 1043259146. It was assigned to this individual provider in the NPPES registry on June 5, 2006.
Where is Clifford Blaylock located?
Clifford Blaylock practices at 208 Rachelle Dr, Oxford, MS 38655. The listed phone number is (662) 281-8700.
What is Clifford Blaylock's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Clifford Blaylock enrolled in Medicare?
Yes. Clifford Blaylock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Clifford Blaylock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clifford Blaylock reassigns Medicare benefits to Rayner Eye Clinic, LLC (Oxford, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clifford Blaylock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Clifford Blaylock was last updated on November 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Clifford Blaylock, CRNA · NPI 1043259146
Nurse Anesthetist, Certified Registered physician in Oxford, Mississippi. Individual provider, active in the CMS NPPES registry since June 5, 2006.
## Identity
- **NPI:** 1043259146 (Entity type: Individual)
- **Enumerated:** June 5, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R782755 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 208 RACHELLE DR, Oxford, MS 38655-6135
- **Phone:** (662) 281-8700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Rayner Eye Clinic, LLC (NPI 1326148578, Oxford, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** November 30, 2007
- **Other identifiers:** Medicaid 00119446 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1043259146) · Data from the CMS NPPES public registry.