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

Benjamin Johnson

Individual provider Certified Registered Nurse Anesthetist · NPI 1457958282

Benjamin Johnson is a Certified Registered Nurse Anesthetist (CRNA) in Tupelo, Mississippi. Qualified in 2020, 6 years ago. Practices with Clay County Medical Corporation, a 36-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2020
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Practice location Address checks out

830 S Gloster St
Tupelo, MS 38801-4934
Phone: (662) 377-4394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 901659 (MS)

Record details

NPI number1457958282
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 5, 2020
Last updated in NPPESOctober 5, 2020
Certification dateOctober 5, 2020
Mailing addressPo Box 3294, Tupelo, MS 38803-3294

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Clay County Medical Corporation — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Tupelo