ANESTHESIA
NPI 1417112277
Anesthesiology in Hattiesburg, MS

Active since July 22, 2008
1420 S 28TH AVE, HATTIESBURG, MS 39402(601) 264-3937 Get Directions Write a Review

NPPES record last updated: August 25, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Anesthesia NPPES

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

ANESTHESIA (NPI 1417112277) is a healthcare organization registered as an anesthesiology in Hattiesburg, Mississippi and active in the NPI registry since July 2008. The organization lists Lynn B Mcmahan, Managing Member/president, as its authorized official.

NPPES Registry Identity

NPI1417112277
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameSOUTHERN EYE SURGERY CENTER LLC
Location Address1420 S 28TH AVEHattiesburg, MS 39402-3107
Mailing Address1420 S 28th AveHattiesburg, MS 39402-3107 · (601) 264-3937
Organization SubpartNo
Authorized OfficialLynn B McmahanManaging Member/president · (601) 705-0078
Enumeration DateJuly 22, 2008
Last NPPES UpdateAugust 25, 2008
✔ NPI 1417112277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X · License 010 (MS)
1420 S 28TH AVE, Hattiesburg, MS 39402

Other Names 1

Other NameAnesthesia

Other Identifiers 1

Other512G700151MS · Medicare Ptan

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)

Anesthesia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 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.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20080521000442Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Anesthesia, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Certified Registered Nurse Anesthetist (CRNA)14
Ophthalmology2
Optometry1

Clinicians, nearest first (17)

Ophthalmology
NPI 1932102951
1420 S 28TH AVE
Hattiesburg, MS 39402
(601) 264-3937
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1548263312
1420 S 28TH AVE
Hattiesburg, MS 39402
(601) 264-3937
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972046282
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 261-3606
✔ PECOS✔ Accepts Medicare1.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871781997
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 261-3606
✔ PECOS1.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1417067224
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 261-3606
✔ PECOS✔ Accepts Medicare1.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1720183668
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 261-3606
✔ PECOS✔ Accepts Medicare1.2 mi
Optometry
NPI 1003433467
2901 ARLINGTON LOOP
Hattiesburg, MS 39401
(601) 268-5144
✔ PECOS✔ Accepts Medicare1.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1427098565
1220 JEFFERSON ST
Laurel, MS 39440
(601) 399-6167
✔ PECOS✔ Accepts Medicare29 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1619916434
950 MATTHEW DR
Waynesboro, MS 39367
(601) 735-7101
✔ PECOS✔ Accepts Medicare48 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972031227
101 HOSPITAL DR
Tylertown, MS 39667
(601) 827-5075
✔ PECOS✔ Accepts Medicare50 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1760464952
1314 19TH AVE
Meridian, MS 39301
(601) 703-9687
✔ PECOS✔ Accepts Medicare83 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1811197023
1314 19TH AVE
Meridian, MS 39301
(601) 703-9687
✔ PECOS✔ Accepts Medicare83 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1194762740
1867 CRANE RIDGE DR SUITE 250-A
Jackson, MS 39216
(601) 366-1400
✔ PECOS✔ Accepts Medicare85 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1982809687
2500 N STATE ST
Jackson, MS 39216
(601) 984-1000
✔ PECOS✔ Accepts Medicare86 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1417287442
2500 N STATE ST
Jackson, MS 39216
(601) 984-1000
✔ PECOS✔ Accepts Medicare86 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1033422092
8212 SUMMA AVE
Baton Rouge, LA 70809
(225) 769-4403
✔ PECOS✔ Accepts Medicare122 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1053343665
2700 HOSPITAL DR
Northport, AL 35476
(205) 759-7352
✔ PECOS168 mi

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 Southern Eye Surgery Center LLC's NPI number?

The NPI number for Southern Eye Surgery Center LLC is 1417112277. It was assigned to this organization in the NPPES registry on July 22, 2008. The provider is also known as Anesthesia.

Where is Southern Eye Surgery Center LLC located?

Southern Eye Surgery Center LLC is located at 1420 S 28th Ave, Hattiesburg, MS 39402. The listed phone number is (601) 264-3937.

What is Southern Eye Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Southern Eye Surgery Center LLC enrolled in Medicare?

Yes. Southern Eye Surgery Center LLC is registered in the Medicare PECOS enrollment system.

When is Southern Eye Surgery Center LLC'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 December 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 Southern Eye Surgery Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Southern Eye Surgery Center LLC. 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (14), Ophthalmology (2) and Optometry (1). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southern Eye Surgery Center LLC accept?

Health plans from Molina Healthcare list Southern Eye Surgery Center LLC 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 Southern Eye Surgery Center LLC was last updated on August 25, 2008. 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.