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

Individual provider Certified Registered Nurse Anesthetist · NPI 1851575260

Melvin L Self Jr., CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Greenwood, Mississippi. Qualified in 2006, 20 years ago. Practices with Lifelinc Anesthesia PLLC, a 167-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
20
Licensed in
MS
In the registry since
2007
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1401 River Rd
Greenwood, MS 38930-4030
Phone: (662) 459-2613
Fax: (662) 459-1159
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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 R855594 (MS)

Record details

NPI number1851575260
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedDecember 20, 2007
Last updated in NPPESDecember 20, 2007

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Lifelinc Anesthesia Pllc — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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