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

Mr. Roydell Herron Jr.

Individual provider Critical Care Medicine Registered Nurse · NPI 1265101018

Mr. Roydell Herron Jr. is a Certified Registered Nurse Anesthetist (CRNA) in Jackson, Tennessee. Qualified in 2022, 4 years ago. Practices with Gastroenterology Center of the Midsouth PLLC, a 150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2021
Specialties on file
2

Practice location Address checks out

620 Skyline Dr
Jackson, TN 38301-3923
Phone: (731) 541-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 27a Medical Center Dr, Jackson, TN 38301-3949 — (731) 424-1001

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 31490 (TN)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 211952 (TN)

Record details

NPI number1265101018
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 7, 2021
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Gastroenterology Center Of The Midsouth Pllc — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jackson