Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mississippi Anesthesia Group, LLC

Organization Certified Registered Nurse Anesthetist · NPI 1366845554

Mississippi Anesthesia Group, LLC is a Certified Registered Nurse Anesthetist in Canton, Mississippi. Licensed in Mississippi. Registered with an NPI since 2014.

Licensed in
MS
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

145 Sanctuary Ln
Canton, MS 39046-6601
Phone: (601) 855-7440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R598755 (MS)

Record details

NPI number1366845554
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Self — Founder And President · (601) 668-5628
NPI enumeratedOctober 1, 2014
Last updated in NPPESOctober 1, 2014
Mailing address2714 W Oxford Loop, Ste 161, Oxford, MS 38655-5711