Christine Leigh Futch Pickrell, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Evans, GA
NPI 1043553084 · NPPES record last updated Mar 30, 2015
Key facts
- NPI
- 1043553084
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN188391 (GA)
- Practice address
- 129 Pond View Rd
Evans, GA 30809-6681 - Phone
- (706) 284-3163
- NPI assigned
- Mar 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gastroenterology Consultants of Augusta, PC
Practice addresses (Care Compare)
393 N Belair Rd
Evans, GA 30809-3096
Phone (706) 854-8934
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130429000359 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0345486882 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN188391 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eiring Anesthesia Associates, P.C. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Au Medical Associates Anesthesia Billing Services, LLC | Current |
Accepting new patients | |
| Gastroenterology Consultants of Augusta, PC | Current |
Accepting new patients | |
| Gastroenterology Consultants of Augusta, PC | Nurse Anesthetist, Certified Registered | Current |
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
- https://api.platform.athenahealth.com/15547/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN188391 | GA | Yes |
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
Other providers in Evans, GA
- Kathryn C. Peters
- Jamie Petrie
- Andrea Jenke Pfeifer
- Meagan Philip
- Physiotherapy Associates Inc
- Makinsey Pierson
- Dena Kristen Pinckney
- Vanitcha R Pintavorn
- Warren Marcus Pitts Jr.
- Randall Timothy Plant
All providers in Evans, GA · Certified Registered Nurse Anesthetist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.