Individual provider Active NPI

Dana Erickson, CRNA

  • Certified Registered Nurse Anesthetist
  • Elizabethtown, KY
National Provider Identifier
1013361740
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3010328 Issued in KY
Practice address
639 N Mulberry St
Heartland Anesthesia Consultants, P.S.C.
Elizabethtown, KY 42701-1931
Phone
(270) 737-4600
Fax
(270) 737-1722
NPI assigned
Apr 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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 3010328 KY Primary

Addresses

Primary practice location

639 N Mulberry St
Heartland Anesthesia Consultants, P.S.C.
Elizabethtown, KY 42701-1931

Mailing address

639 N Mulberry St
Heartland Anesthesia Consultants, P.S.C.
Elizabethtown, KY 42701-1931
Phone (270) 737-4600

Other names 1

  • Miss Dana Kristin Daugherty Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170920004205 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456644418 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gi North Anesthesia, LLCGroup PAC ID 6204179773, 12 clinicians
Gi Anesthesia of Georgia LLCGroup PAC ID 0446516769, 117 clinicians

Practice addresses (Care Compare)

4150 Deputy Bill Cantrell Memorial Rd
Suite 200
Cumming, GA 30040-3005
Phone (404) 446-0600

4275 Johns Creek Pkwy
Suite a
Suwanee, GA 30024-9117
Phone (678) 475-1606

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3010328KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sentry Anesthesia Management, LLC CurrentSince Mar 21, 2025 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Jan 3, 2022 Accepting new patients
Advanced Urology Anesthesia, LLC CurrentSince Sep 1, 2025 Accepting new patients
Advanced Urology Institute of Georgia CurrentSince Sep 1, 2025 Accepting new patients
Advanced Urology Institute of Georgia, PC CurrentSince Sep 1, 2025 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2022 Accepting new patients
Gi North Anesthesia, LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

3200 Downwood Cir NW
Ste 200
Atlanta, GA 30327
Phone (404) 351-1990

4150 Dep Bill Cantrell Memorial Rd
Ste 200
Cumming, GA 30040
Phone (404) 446-0600

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

10730 Medlock Bridge Rd
Ste 120
Johns Creek, GA 30097

501 Crownpointe Way
Ste 100
Lawrenceville, GA 30046
Phone 6783448900101

1371 Church Street Ext NE
#100
Marietta, GA 30060

11660 Alpharetta Hwy
Ste 720
Roswell, GA 30076
Phone 6783448900156

1450 S Johnson Ferry Rd
Ste 100
Sandy Springs, GA 30319
Phone 6783448900156

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421

1800 Tree Ln
Ste 280
Snellville, GA 30078
Phone (404) 919-4876

4275 Johns Creek Pkwy
Ste A
Suwanee, GA 30024
Phone (678) 475-1606

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACIFBA/Endpoint/ACIFBA
  • FHIR API: https://662acb6b-2e6a-4a18-a64c-d0df200218d5.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1013361740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 N MULBERRY ST",
            "address_2": "HEARTLAND ANESTHESIA CONSULTANTS, P.S.C.",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011931",
            "telephone_number": "270-737-4600",
            "fax_number": "270-737-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 N MULBERRY ST",
            "address_2": "HEARTLAND ANESTHESIA CONSULTANTS, P.S.C.",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011931",
            "telephone_number": "270-737-4600",
            "fax_number": "270-737-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "DANA",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3010328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "DAUGHERTY",
            "middle_name": "KRISTIN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.