Active NPI
Carol Lawrence, CRNA
- Registered Nurse
- Dalton, GA
National Provider Identifier
1013000298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN141590
- Practice address
- 1200 Memorial Dr
Dalton, GA 30720-2529 - Phone
- (706) 259-4435
- Fax
- (706) 226-2283
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN141590 | GA | Primary |
Addresses
Primary practice location
1200 Memorial Dr
Dalton, GA 30720-2529
Mailing address
1419 Chattanooga Ave
Suite 4
Dalton, GA 30720-2642
Phone (706) 259-4435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00823644J | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1016 Executive Dr
Suite 101
Hixson, TN 37343-3995
Phone (423) 648-4525
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uap Chattanooga Pain, LLC | Current | Accepting new patients | |
| Anesthesiologists Associated PC | Past | Accepting new patients | |
| Anesthesiologists Associated PC | Past | Accepting new patients |
Locations
1016 Executive Dr
Hixson, TN 37343
Phone (423) 414-2770
1016 Executive Dr
Ste 101
Hixson, TN 37343
Phone (423) 648-4525
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Hixson, TN
- NPI 1679834998
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1043278443
-
- Anesthesiology Physician
- Chattanooga, TN
- NPI 1518923705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013000298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 CHATTANOOGA AVE",
"address_2": "SUITE 4",
"city": "DALTON",
"state": "GA",
"postal_code": "307202642",
"telephone_number": "706-259-4435",
"fax_number": "706-226-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 MEMORIAL DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307202529",
"telephone_number": "706-259-4435",
"fax_number": "706-226-2283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "CAROL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN141590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00823644J",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.