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

Connor Blackwell

Individual provider Certified Registered Nurse Anesthetist · NPI 1568273274

Connor Blackwell is a Certified Registered Nurse Anesthetist (CRNA) in Jackson, Mississippi. Qualified in 2024, 2 years ago. Practices with Perioperative Services of Mississippi, LLC, a 98-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2025
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Practice location Address checks out

234 E Capitol St
Jackson, MS 39201-2418
Phone: (601) 317-2802
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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 901956 (MS)

Record details

NPI number1568273274
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 14, 2025
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 6, 2025
Mailing address124 Sylvias Pl, Brandon, MS 39042-6610

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Perioperative Services Of Mississippi, Llc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson