Deep South Anesthesia, Inc
NPI 1164738712 · Certified Registered Nurse Anesthetist · Picayune, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Deep South Anesthesia, Inc is a Certified Registered Nurse Anesthetist organization in Picayune, MS (NPI 1164738712).
Provider details
- NPI number
- 1164738712
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jason Lane, Crna/Owner(800) 204-0099
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-08-20
- Last updated
- 2010-08-20
Frequently asked questions
- What is Deep South Anesthesia, Inc's NPI number?
- Deep South Anesthesia, Inc's National Provider Identifier (NPI) is 1164738712, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Deep South Anesthesia, Inc?
- Deep South Anesthesia, Inc is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Deep South Anesthesia, Inc located?
- Deep South Anesthesia, Inc's practice location on file with NPPES is 801 Goodyear Blvd, Picayune, MS 39466-3221.
- What is Deep South Anesthesia, Inc's phone number?
- The practice phone number listed in the NPPES registry for Deep South Anesthesia, Inc is (601) 798-4711.
- Does Deep South Anesthesia, Inc accept Medicare?
- Deep South Anesthesia, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Deep South Anesthesia, Inc?
- The authorized official listed on Deep South Anesthesia, Inc's NPPES record is Jason Lane, Crna/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Deep South Anesthesia, Inc's NPI active?
- Yes — Deep South Anesthesia, Inc's NPI (1164738712) is active in the NPPES registry as of the last update on 2010-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.