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

Michael Tyler Stout, MD

Individual provider Anesthesiology Physician · NPI 1679863633

Michael Tyler Stout, MD is an Anesthesiology in Jackson, Mississippi. Graduated from Louisiana State University School of Medicine in New Orleans in 2011, 15 years ago. Practices with Physicians Anesthesia Group Staffing, LLC, a 22-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
15
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
MS, TN
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1151 N State St Ste 311
Jackson, MS 39202-2407
Phone: (601) 969-1171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 415 S 28th Ave, Hattiesburg, MS 39401-7246 — (601) 261-3606

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 23817 (MS)
Anesthesiology Physician Taxonomy 207L00000X · Licence 67910 (TN)

Record details

NPI number1679863633
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2011
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023
Mailing address1151 N State St Ste 311, Jackson, MS 39202-2407

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2011 (15 years in practice)
Group practice Physicians Anesthesia Group Staffing, Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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