DEEP SOUTH ANESTHESIA, INC
NPI 1164738712
Nurse Anesthetist, Certified Registered in Picayune, MS
About Deep South Anesthesia, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEEP SOUTH ANESTHESIA, INC (NPI 1164738712) is a healthcare organization registered as a nurse anesthetist, certified registered in Picayune, Mississippi and active in the NPI registry since August 2010. The organization lists Jason Todd Lane, Crna/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deep South Anesthesia, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Deep South Anesthesia, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Deep South Anesthesia, Inc's NPI number?
The NPI number for Deep South Anesthesia, Inc is 1164738712. It was assigned to this organization in the NPPES registry on August 20, 2010.
Where is Deep South Anesthesia, Inc located?
Deep South Anesthesia, Inc is located at 801 Goodyear Blvd, Picayune, MS 39466. The listed phone number is (601) 798-4711.
What is Deep South Anesthesia, Inc's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Deep South Anesthesia, Inc enrolled in Medicare?
Yes. Deep South Anesthesia, Inc is registered in the Medicare PECOS enrollment system.
When is Deep South Anesthesia, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Deep South Anesthesia, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Deep South Anesthesia, Inc. A 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 the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Deep South Anesthesia, Inc accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Deep South Anesthesia, Inc 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.
When was this NPI record last updated?
The NPPES record for Deep South Anesthesia, Inc was last updated on August 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Deep South Anesthesia, Inc · NPI 1164738712
Nurse Anesthetist, Certified Registered organization in Picayune, Mississippi. Organization record, active in the CMS NPPES registry since August 20, 2010.
## Identity
- **NPI:** 1164738712 (Entity type: Organization)
- **Enumerated:** August 20, 2010
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **Organization subpart:** No
- **Authorized official:** Jason Lane, CRNA/OWNER
## Practice location
- **Address:** 801 GOODYEAR BLVD, Picayune, MS 39466-3221
- **Phone:** (601) 798-4711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians (Certified Registered Nurse Anesthetist (CRNA)) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1164738712) · Data from the CMS NPPES public registry.