Individual provider Active NPI

Paula Moore McMicken, CRNA

  • Certified Registered Nurse Anesthetist
  • Cartersville, GA
National Provider Identifier
1013144088
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN149324 Issued in GA
Practice address
180 Road 3 S
Cartersville, GA 30120-5509
Phone
(770) 382-4646
NPI assigned
Jun 17, 2009
Last updated
Jun 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN149324 GA Primary

Addresses

Primary practice location

180 Road 3 S
Cartersville, GA 30120-5509

Mailing address

180 Road 3 S
Cartersville, GA 30120-5509
Phone (770) 382-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110314000120 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830371905 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sweet Dreams Anesthesiology Nurses of Georgia LLCGroup PAC ID 0941456446, 6 clinicians
Vertex Anesthesia Associates LLCGroup PAC ID 8022547306, 16 clinicians
Overwatch AnesthesiaGroup PAC ID 3678949146, 69 clinicians

Practice addresses (Care Compare)

1035 Southcrest Dr
Suite 250
Stockbridge, GA 30281-6117
Phone (770) 996-9945

2400 Osler CT
Albany, GA 31707-0205
Phone (229) 883-1503

865 S 1St St
Jesup, GA 31545-0210
Phone (912) 427-6811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN149324GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Anesthesiology Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2016 Accepting new patients
Vision Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Radiance Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Integrated Anesthesia Solutions, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Nmda Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 11, 2013 Accepting new patients
Overwatch Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Mar 20, 2023 Accepting new patients
Vertex Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Sweet Dreams Anesthesiology Nurses of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 11, 2013 Accepting new patients
Grand Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2019 Accepting new patients
Sweet Dreams Nurse Anesthesiology LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2014 Accepting new patients
South Atlanta Vascular Institute, LLC Past Accepting new patients
Sentry Anesthesia Management, LLC PastSince Jan 2, 2020 Accepting new patients
Southeast Anesthesia PC Past Accepting new patients

Locations (25 of 63)

308 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 426-2565

1950 SW 18th Ct
Ocala, FL 34471
Phone (352) 789-6575

1881 W Kennedy Blvd
Ste C
Tampa, FL 33606
Phone (813) 693-5000

2300 Dawson Rd
Ste 100
Albany, GA 31707
Phone (229) 888-6466

2400 Osler Ct
Albany, GA 31707
Phone (229) 449-1676

2405 Osler Ct
Ste 100
Albany, GA 31707
Phone (229) 317-2346

414 5th Ave
Albany, GA 31701
Phone (229) 432-9515

531 7th Ave
Albany, GA 31701
Phone (229) 883-3535

619 Pointe North Blvd
Albany, GA 31721
Phone (229) 883-4707

4080 McGinnis Ferry Rd
Ste 102
Alpharetta, GA 30005
Phone (770) 316-6158

1620 Prince Ave
Athens, GA 30606
Phone (706) 546-0170

3320 Old Jefferson Rd
Ste 100
Athens, GA 30607
Phone (706) 353-3600

1718 Peachtree St NW
Ste 360
Atlanta, GA 30309
Phone (678) 995-5068

1776 Peachtree St NW
Ste 2905
Atlanta, GA 30309

3886 Princeton Lakes Way SW
Ste 100
Atlanta, GA 30331
Phone (404) 768-1133

1303 Dantignac St
Ste 2500
Augusta, GA 30901
Phone (706) 722-6900

1111 Glynco Pkwy
Brunswick, GA 31525
Phone (912) 262-6552

2500 Starling St
Ste 604
Brunswick, GA 31520
Phone (912) 280-9977

795 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 629-1852

227 Riverstone Dr
Canton, GA 30114
Phone (770) 720-7733

158 Clinic Ave
Carrollton, GA 30117
Phone (770) 834-1008

158 Clinic Ave
#B
Carrollton, GA 30117
Phone (770) 834-1001

15 Medical Dr NE
Cartersville, GA 30121
Phone (770) 386-5221

15 Medical Dr NE
Ste 101
Cartersville, GA 30121
Phone (770) 386-5221

2616 Warm Springs Rd
Ste B
Columbus, GA 31904
Phone (706) 243-0016

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18188/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/24010/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/c4077300-4993-4503-8ecf-1bd837357695/
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIJACD

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1013144088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ROAD 3 S",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301205509",
            "telephone_number": "770-382-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ROAD 3 S",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301205509",
            "telephone_number": "770-382-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMICKEN",
        "first_name": "PAULA",
        "middle_name": "MOORE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN149324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.

Verify at the official NPI Registry.