Individual provider Active NPI

Henry Garcia, CRNA

  • Certified Registered Nurse Anesthetist
  • Madison, TN
National Provider Identifier
1043399603
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
073928 Issued in TN
Practice address
154 Cude LN
Madison, TN 37115-2202
Phone
(615) 865-6268
Fax
(615) 868-7378
NPI assigned
Nov 3, 2006
Last updated
Apr 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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 073928 TN Primary

Addresses

Primary practice location

154 Cude LN
Madison, TN 37115-2202

Mailing address

PO Box 488
Madison, TN 37116-0488
Phone (615) 865-6268

Other identifiers 1

IdentifierTypeStateIssuer
3636480MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060508000924 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658382460 Reassigns benefits to 5 organizations
I20080403000308 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658382460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Anesthesia LLCGroup PAC ID 2567895220, 11 clinicians

Practice addresses (Care Compare)

1100 Brookhaven Rd
Franklin, KY 42134-2746

1625 Nashville St
Russellville, KY 42276-8853
Phone (615) 620-2333

250 Park St
Bowling Green, KY 42101-1760
Phone (270) 781-7178

280 Warfield Blvd
Clarksville, TN 37043-1828
Phone (931) 551-9605

301 Tyson Ave
Paris, TN 38242-4544
Phone (731) 642-1220

456 Burnley Rd
Scottsville, KY 42164-6355
Phone (270) 780-2760

466 Burnley Rd
Scottsville, KY 42164-6355
Phone (270) 780-2750

825 2ND Ave E
Suite C2
Bowling Green, KY 42101-1786

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
073928TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Medical Center Current Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Sep 26, 2024 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Sep 26, 2024 Accepting new patients
West Tennessee Healthcare Henry County Nurse Anesthetist, Certified Registered CurrentSince May 15, 2016 Accepting new patients
West Tennessee Healthcare Henry County CurrentSince Dec 17, 2024 Accepting new patients
Henry County Medical Center CurrentSince May 15, 2016 Accepting new patients
Northstar Anesthesia of Tennessee, PLLC CurrentSince Mar 1, 2012 Accepting new patients
Lifelinc Anesthesia II, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Forefront Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2023 Accepting new patients
Nashville Anesthesia PLLC Nurse Anesthetist, Certified Registered PastSince May 7, 2023 Accepting new patients

Locations

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

1625 Nashville St
Russellville, KY 42276
Phone (270) 726-4011

280 Warfield Blvd
Clarksville, TN 37043
Phone (931) 551-9605

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

1015 Kelley Dr
Ste 200
Paris, TN 38242
Phone (731) 644-2271

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001
  • FHIR API: https://fhir-myrecord.cerner.com/r4/b673e6c7-c87b-498f-86b2-99b24c52c924/

Organizations & group practices 11

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1043399603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371160488",
            "telephone_number": "615-865-6268",
            "fax_number": "615-868-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 CUDE LN",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152202",
            "telephone_number": "615-865-6268",
            "fax_number": "615-868-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "HENRY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "073928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3636480",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.