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

Individual provider Certified Registered Nurse Anesthetist · NPI 1871917294

Cornell Graham, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Jackson, Mississippi. Qualified in 2013, 13 years ago. Practices with Perioperative Services of Mississippi, LLC, a 98-clinician group and accepts Medicare assignment. Licensed in Mississippi and Texas.

Years since qualifying
13
Licensed in
MS, TX
In the registry since
2014
Specialties on file
2
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

2500 N State St Dept OF Anesthesia
Jackson, MS 39216-4500 Not confirmed with CMS for 10 years — call before visiting
Phone: (601) 984-5952
Fax: (601) 984-5939
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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 R880851 (MS)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 2723 (TX)

Record details

NPI number1871917294
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 5, 2014
Last updated in NPPESMarch 10, 2016

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Perioperative Services Of Mississippi, Llc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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