MR. ANTONIO GAMBLE
NPI 1154420925
Nurse Anesthetist, Certified Registered in Jackson, MS
About Mr. Antonio Gamble NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ANTONIO GAMBLE (NPI 1154420925) is an individual nurse anesthetist, certified registered in Jackson, Mississippi, licensed in Mississippi (R861375) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and is a graduate of University Of Alabama School Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mr. Antonio Gamble 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
3Medicare enrollment records show Antonio Gamble reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- Also billed through NPI 1831520691 (Mississippi)
- 1,932 clinicians in this Medicare group
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 86 clinicians in this Medicare group
Jackson, MS 39201
- Reassigned Medicare billing, Mississippi enrollment
- 187 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
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Mississippi Med Center
Acute Care Hospitals · Jackson, MSSt Dominic-Jackson Memorial Hospital
Acute Care Hospitals · Jackson, MSMississippi Baptist Medical Center
Acute Care Hospitals · Jackson, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 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.
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.
JACKSON, MS 39216
JACKSON, MS 39216
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 Antonio Gamble's NPI number?
The NPI number for Antonio Gamble is 1154420925. It was assigned to this individual provider in the NPPES registry on September 21, 2006.
Where is Antonio Gamble located?
Antonio Gamble practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-5900.
What is Antonio Gamble's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Antonio Gamble enrolled in Medicare?
Yes. Antonio Gamble 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 Antonio Gamble's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Gamble reassigns Medicare benefits to 3 organizations: State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS), Physicians Anesthesia Group, P.A. (Jackson, MS) and Perioperative Services Of Mississippi, LLC (Jackson, MS). 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 Antonio Gamble's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Antonio Gamble accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Antonio Gamble as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Antonio Gamble affiliated with any hospitals?
According to CMS data, Antonio Gamble is affiliated with University Of Mississippi Med Center, St Dominic-Jackson Memorial Hospital and Mississippi Baptist Medical Center.
When was this NPI record last updated?
The NPPES record for Antonio Gamble was last updated on December 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mr. Antonio Gamble · NPI 1154420925
Nurse Anesthetist, Certified Registered physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since September 21, 2006.
## Identity
- **NPI:** 1154420925 (Entity type: Individual)
- **Enumerated:** September 21, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R861375 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 984-5900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527, Jackson, MS); Physicians Anesthesia Group, P.A. (NPI 1407890783, Jackson, MS); Perioperative Services Of Mississippi, LLC (NPI 1881123123, Jackson, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Alabama School Of Medicine, class of 2005
## Record status
- **NPPES last updated:** December 30, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1154420925) · Data from the CMS NPPES public registry.