DR. MICHONG RAYBORN CRNA
NPI 1134184534
Nurse Anesthetist, Certified Registered in Hattiesburg, MS
About Dr. Michong Rayborn Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHONG RAYBORN CRNA (NPI 1134184534) is an individual nurse anesthetist, certified registered in Hattiesburg, Mississippi, licensed in Mississippi (R858790) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).
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
Dr. Michong Rayborn 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 Reassignments
2Medicare enrollment records show Michong Rayborn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hattiesburg, MS 39402
- Reassigned Medicare billing, Mississippi enrollment
- 696 clinicians in this Medicare group
Memphis, TN 38125
- Reassigned Medicare billing, Mississippi enrollment
- 284 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HATTIESBURG, MS 39402
HATTIESBURG, MS 39402
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 Michong Rayborn's NPI number?
The NPI number for Michong Rayborn is 1134184534. It was assigned to this individual provider in the NPPES registry on April 19, 2006.
Where is Michong Rayborn located?
Michong Rayborn practices at 5001 Hardy St, Hattiesburg, MS 39402. The listed phone number is (601) 268-8103.
What is Michong Rayborn's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Michong Rayborn enrolled in Medicare?
Yes. Michong Rayborn 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 organizations bill Medicare for Michong Rayborn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michong Rayborn reassigns Medicare benefits to 2 organizations: Hattiesburg Clinic PA (Hattiesburg, MS) and Lifelinc Anesthesia, PLLC (Memphis, TN). Each 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 Michong Rayborn'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 Michong Rayborn was last updated on August 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Michong Rayborn, CRNA · NPI 1134184534
Nurse Anesthetist, Certified Registered physician in Hattiesburg, Mississippi. Individual provider, active in the CMS NPPES registry since April 19, 2006.
## Identity
- **NPI:** 1134184534 (Entity type: Individual)
- **Enumerated:** April 19, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R858790 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 5001 HARDY ST, Hattiesburg, MS 39402-1308
- **Phone:** (601) 268-8103
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hattiesburg Clinic PA (NPI 1851488118, Hattiesburg, MS); Lifelinc Anesthesia, PLLC (NPI 1801021464, Memphis, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** August 23, 2016
- **Other identifiers:** Medicare UPIN S50406 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1134184534) · Data from the CMS NPPES public registry.