Individual provider Active NPI

Christine Leigh Futch Pickrell, CRNA

  • Certified Registered Nurse Anesthetist
  • Evans, GA
National Provider Identifier
1043553084
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN188391 Issued in GA
Practice address
129 Pond View Rd
Evans, GA 30809-6681
Phone
(706) 284-3163
NPI assigned
Mar 28, 2013
Last updated
Mar 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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 RN188391 GA Primary

Addresses

Primary practice location

129 Pond View Rd
Evans, GA 30809-6681

Mailing address

129 Pond View Rd
Evans, GA 30809-6681
Phone (706) 284-3163

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130429000359 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345486882 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

393 N Belair Rd
Evans, GA 30809-3096
Phone (706) 854-8934

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN188391GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Consultants of Augusta, PC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2019 Accepting new patients
Gastroenterology Consultants of Augusta, PC CurrentSince Nov 1, 2019 Accepting new patients
Eiring Anesthesia Associates, P.C. Nurse Anesthetist, Certified Registered CurrentSince Dec 20, 2016 Accepting new patients
Au Medical Associates Anesthesia Billing Services, LLC CurrentSince Jul 1, 2015 Accepting new patients
BDT Anesthesia Associates PC Past Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

393 N Belair Rd
Evans, GA 30809
Phone (706) 854-8934

501 Blackburn Dr
Martinez, GA 30907
Phone (706) 724-5451

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15547/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1043553084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 POND VIEW RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308096681",
            "telephone_number": "706-284-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 POND VIEW RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308096681",
            "telephone_number": "706-284-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKRELL",
        "first_name": "CHRISTINE",
        "middle_name": "LEIGH FUTCH",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN188391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.