Active NPI
Kerin D. Harris, CRNA
- Certified Registered Nurse Anesthetist
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 877
- Practice address
- 2435 Forest Drive
Columbia, SC 29204 - Phone
- (803) 454-2613
- Fax
- (803) 765-1732
- NPI assigned
- Mar 24, 2006
- Last updated
- Apr 3, 2013
- 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 | 877 | SC | Primary |
Addresses
Primary practice location
2435 Forest Drive
Columbia, SC 29204
Mailing address
PO Box 1467
Columbia, SC 29202
Phone (803) 454-2613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN1131 | Medicaid | SC |
Other names 1
- Kerin D. Clayton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| American Anesthesiology Associates of Georgia, LLC | Current | Accepting new patients | |
| Sisters of Charity Providence Hospitals | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Branstiter Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Cardiovascular Ansthesia, LLC | Past | Accepting new patients |
Locations
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
605 S Veterans Blvd
Glennville, GA 30427
Phone (912) 354-4800
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
4720 Waters Ave
Savannah, GA 31404
Phone (912) 350-4800
519 Stephenson Ave
Savannah, GA 31405
5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172
459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Stone Mountain, GA
- NPI 1528068673
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1679774343
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1467017004
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Columbia, SC
- NPI 1497726160
-
dba Providence Hospital CRNAs
- Certified Registered Nurse Anesthetist
- Columbia, SC
- NPI 1194796607
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364947200000",
"number": "1053371013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1467",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29202",
"telephone_number": "803-454-2613",
"fax_number": "803-765-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 FOREST DRIVE",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29204",
"telephone_number": "803-454-2613",
"fax_number": "803-765-1732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "KERIN",
"middle_name": "D.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2013-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN1131",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KERIN",
"last_name": "CLAYTON",
"middle_name": "D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.