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

Mr. Paul R. Anderson III, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1417909003

Mr. Paul R. Anderson III, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in McComb, Mississippi. Qualified in 2005, 21 years ago. Practices with Main Street Anesthesia of New Mexico, LLC, a 228-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi and Texas.

Years since qualifying
21
Licensed in
MS, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

215 Marion Ave
McComb, MS 39648-2705
Phone: (601) 249-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2600 Saint Michael Dr, Texarkana, TX 75503-2372 — (903) 614-1000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 875933 (MS)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 1072774 (TX)

Record details

NPI number1417909003
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Main Street Anesthesia Of New Mexico, Llc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in McComb