Individual provider Active NPI

Ernest Jay Gross, CRNA

  • Certified Registered Nurse Anesthetist
  • Providence, KY
National Provider Identifier
1043640840
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D166143 Issued in IA
Practice address
206 Locust St
Providence, KY 42450-1514
Phone
(205) 919-0863
NPI assigned
Nov 15, 2013
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN2329494 MA
Certified Registered Nurse Anesthetist 367500000X ARNP11000776 FL
Certified Registered Nurse Anesthetist 367500000X 52674 NC
Certified Registered Nurse Anesthetist 367500000X 27565 SC
Certified Registered Nurse Anesthetist 367500000X D166143 IA Primary

Addresses

Primary practice location

206 Locust St
Providence, KY 42450-1514

Mailing address

206 Locust St
Providence, KY 42450-1514
Phone (205) 919-0863

Other practice location 1

7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Other practice location 2

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.82 of 100Reported as group
Quality
91.59
Promoting interoperability
100
Improvement activities
40
Cost
76.82

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP11000776FLMDCertified Registered Nurse Anesthetist
D166143IAMDCertified Registered Nurse Anesthetist
52674NCMDCertified Registered Nurse Anesthetist
27565SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dothan Anesthesiology Associates PC CurrentSince Mar 1, 2022 Accepting new patients
Huntsville Anesthesiology Consultants PC Nurse Anesthetist, Certified Registered CurrentSince Jun 23, 2023 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2022 Accepting new patients
Southern Alabama Surgery Center LLC Nurse Anesthetist, Certified Registered CurrentSince May 5, 2022 Accepting new patients
Ams Southeast LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
American Anesthesiology Associates of Georgia, LLC CurrentSince May 1, 2020 Accepting new patients
Epix Anesthesia of Alabama LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 4, 2018 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 21, 2023 Accepting new patients
Methodist Health, Inc. Current Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Mooresville Hospital Management Associates LLC Past Accepting new patients
Mooresville Hospital Management Associates, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

2800 Ross Clark Cir
Ste 3
Dothan, AL 36301
Phone (334) 793-3411

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

721 Madison St SE
Huntsville, AL 35801
Phone (256) 533-4888

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

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

1014 Forsyth St
Macon, GA 31201
Phone (478) 633-5800

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

888 Pine St
Macon, GA 31201
Phone (478) 751-0527

3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

Organizations & group practices 12

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": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1043640840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 LOCUST ST",
            "city": "PROVIDENCE",
            "state": "KY",
            "postal_code": "424501514",
            "telephone_number": "205-919-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 LOCUST ST",
            "city": "PROVIDENCE",
            "state": "KY",
            "postal_code": "424501514",
            "telephone_number": "205-919-0863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Independence Pt Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154569",
            "country_code": "US",
            "telephone_number": "864-522-3700",
            "fax_number": "864-522-3705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-2633",
            "fax_number": "319-356-2940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "ERNEST",
        "middle_name": "JAY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-15",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN2329494",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP11000776",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "52674",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "27565",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D166143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.