WAYNE GENERAL CRNA - NPI 1093930638 - Nurse Anesthetist, Certified Registered in Waynesboro, MS

Q: What is the provider's specialty?

The provider's specialty is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

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About Wayne General Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAYNE GENERAL CRNA (NPI 1093930638) is a healthcare organization registered as a nurse anesthetist, certified registered in Waynesboro, Mississippi and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through September 2, 2027 and lists Kathy Waddell, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093930638

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameWAYNE GENERAL HOSPITAL

Location Address950 MATTHEW DRWaynesboro, MS 39367-2567

Mailing Address950 Matthew Dr, P O Box 1249Waynesboro, MS 39367-2567 · (601) 735-5151 · Fax (601) 735-7168

Phone(601) 735-5151

Fax(601) 735-7168

Organization SubpartYesParent: Wayne General Hosptial

Authorized OfficialKathy WaddellAdministrator · (601) 735-5151

Enumeration DateApril 17, 2007

Last NPPES UpdateMay 18, 2015

✔ NPI 1093930638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MS · 11-288

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

950 MATTHEW DR, Waynesboro, MS 39367

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Other Names 1

Doing Business AsWayne General Crna

Other Identifiers 2

Medicaid09012424MS

Medicare PINC00816MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2234896

Wayne General Hospital - Ambulance Service · Waynesboro, MS

Active · expires Sep 2, 2027

CLIA Number25D2234896

Laboratory TypeAmbulance

Certificate Effective DateSeptember 3, 2025

Certificate Expiration DateSeptember 2, 2027

Laboratory DirectorDane Pitts

Laboratory Phone(601) 735-5151

Laboratory LocationWayne General Hospital - Ambulance Service950 Matthew Dr, Waynesboro, MS 39367

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN K WILLIAMS MD

Family Medicine