TUPELO ANESTHESIA GROUP PA
NPI 1558390443
Anesthesiology in Tupelo, MS
About Tupelo Anesthesia Group Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TUPELO ANESTHESIA GROUP PA (NPI 1558390443) is a healthcare organization registered as an anesthesiology in Tupelo, Mississippi and active in the NPI registry since July 2006. The organization lists John H Douglas, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
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)
Tupelo Anesthesia Group Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
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
91Medicare enrollment records show 91 clinicians reassign Medicare billing to Tupelo Anesthesia Group PA, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 65 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 91Source: 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 Tupelo Anesthesia Group PA's NPI number?
The NPI number for Tupelo Anesthesia Group PA is 1558390443. It was assigned to this organization in the NPPES registry on July 2, 2006.
Where is Tupelo Anesthesia Group PA located?
Tupelo Anesthesia Group PA is located at 830 South Gloster, Tupelo, MS 38801. The listed phone number is (662) 377-4394.
What is Tupelo Anesthesia Group PA's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Tupelo Anesthesia Group PA enrolled in Medicare?
Yes. Tupelo Anesthesia Group PA is registered in the Medicare PECOS enrollment system.
When is Tupelo Anesthesia Group PA'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 March 31, 2027. 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 Tupelo Anesthesia Group PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 91 clinicians in 3 Medicare specialties reassign their Medicare billing to Tupelo Anesthesia Group PA. 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) (75), Anesthesiology (15) and Pain Management (1). Of these, 8 practice at this address and 65 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tupelo Anesthesia Group PA was last updated on November 11, 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.
# Tupelo Anesthesia Group Pa · NPI 1558390443
Anesthesiology organization in Tupelo, Mississippi. Organization record, active in the CMS NPPES registry since July 2, 2006.
## Identity
- **NPI:** 1558390443 (Entity type: Organization)
- **Enumerated:** July 2, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **Organization subpart:** No
- **Authorized official:** John Douglas, SECRETARY
## Practice location
- **Address:** 830 SOUTH GLOSTER, Tupelo, MS 38801
- **Phone:** (662) 377-4394 · **Fax:** (662) 377-7045
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 91 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (75), Anesthesiology (15), Pain Management (1); 8 practice at this address and 65 within 10 miles; [full list](https://npiprofile.com/npi/1558390443/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 11, 2010
- **Other identifiers:** Medicare ID-Type Unspecified C00861 (MS); Medicaid 09013131 (MS)
---
Source: [NPI Profile](https://npiprofile.com/npi/1558390443) · Data from the CMS NPPES public registry.