Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Paul R. Anderson III, CRNA

Certified Registered Nurse Anesthetist in Mccomb, MS · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417909003

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Registry record

Entity type Individual (Type 1)

Name Mr. Paul R. Anderson III

Credential CRNA

Sex Male

Practice address 215 Marion Ave, Mccomb, MS, 39648

Phone (601) 249-5500

Enumeration date May 16, 2006

Last updated in NPPES Sep 17, 2025

Taxonomy & licenses

367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers · License 875933 (MS) Primary

367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers · License 1072774 (TX) Secondary

CRNA · Certified Registered Nurse Anesthetist: An advanced practice nurse specializing in anesthesia care. About the CRNA credential

Other identifiers

Identifier	Type	State	Issuer
00107335	Medicaid	MS	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Paul Anderson practice?

The practice location on file with NPPES is in Mccomb, MS. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Paul Anderson?

The National Provider Identifier (NPI) for Paul Anderson is 1417909003, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

Browse all →

Imad Tahboub Internal Medicine Physician · Mccomb, MS NPI 1669468336 Gabriel Zevallos Internal Medicine Physician · Mccomb, MS NPI 1013965599 Gerald Adcock Certified Registered Nurse Anesthetist · Mccomb, MS NPI 1821046145 Marc Freeman Anesthesiology Physician · Mccomb, MS NPI 1215986963 Southwest Mississippi Regional Medical Center General Acute Care Hospital · Mccomb, MS NPI 1407805971 Barbara Bond Student in an Organized Health Care Education/Training Program · Mccomb, MS NPI 1184661910 Mccomb Anesthesia Associates, LLP Anesthesiology Physician · Mccomb, MS NPI 1619916533 Hugh Fortenberry Certified Registered Nurse Anesthetist · Mccomb, MS NPI 1003844481

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-17.