Active NPI
Demetra D McGlothin, CRNA
- Certified Registered Nurse Anesthetist
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN149967
- Practice address
- 777 Hemlock St
Macon, GA 31201-2102 - Phone
- (866) 507-5244
- Fax
- (855) 851-4405
- NPI assigned
- Jan 21, 2011
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN149967 | GA | Primary |
Addresses
Primary practice location
777 Hemlock St
Macon, GA 31201-2102
Mailing address
PO Box 551420
Fort Lauderdale, FL 33355-1420
Phone (800) 243-3839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Mercer University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
705 Dixie St
Carrollton, GA 30117-3818
Phone (800) 232-5703
Hospital & facility affiliations
- Tanner Medical Center Villa Rica
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN149967 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMC-West Georgia Anesthesia Associates Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Coastal Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| Gi Anesthesia of Georgia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology Associates of Georgia, LLC | Current | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499
1014 Forsyth St
Macon, GA 31201
Phone (478) 633-5800
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200
900 Towne Lake Pkwy
Ste 310
Woodstock, GA 30189
Phone (770) 926-0071
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Carrollton, GA
- NPI 1740252022
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Stone Mountain, GA
- NPI 1528068673
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1750753786
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1326569187
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Villa Rica, GA
- NPI 1851388748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416182400000",
"number": "1023313004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 551420",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333551420",
"telephone_number": "800-243-3839",
"fax_number": "855-851-4405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 HEMLOCK ST",
"city": "MACON",
"state": "GA",
"postal_code": "312012102",
"telephone_number": "866-507-5244",
"fax_number": "855-851-4405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGLOTHIN",
"first_name": "DEMETRA",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-21",
"last_updated": "2014-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN149967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.