Individual provider Active NPI

Rose Kordich Doyle, CRNA

  • Certified Registered Nurse Anesthetist
  • Clemmons, NC
National Provider Identifier
1063481497
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
840 Issued in NC
Practice address
1817 Curraghmore Rd
Clemmons, NC 27012-8852
Phone
(336) 414-9420
Fax
(336) 766-0737
NPI assigned
Mar 16, 2006
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 105351 NC
Certified Registered Nurse Anesthetist 367500000X 840 NC Primary

Addresses

Primary practice location

1817 Curraghmore Rd
Clemmons, NC 27012-8852

Mailing address

1817 Curraghmore Rd
Clemmons, NC 27012-8852
Phone (336) 414-9420

Other identifiers 1

IdentifierTypeStateIssuer
8050936/8000282MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080213000158 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163489295 Reassigns benefits to 1 organization
I20100427000471 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163489295 Reassigns benefits to 17 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians

Practice addresses (Care Compare)

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-5000

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
840NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Jul 1, 2015 Accepting new patients
Medical Park Hospital LLC CurrentSince Jul 14, 2025 Accepting new patients
Novant Health Thomasville Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 14, 2025 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Current Accepting new patients
Novant Health Mint Hill Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 14, 2025 Accepting new patients
The Presbyterian Hospital CurrentSince Jul 14, 2025 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 14, 2025 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Jul 14, 2025 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Current Accepting new patients
Wake Forest University Health Sciences CurrentSince Jul 1, 2015 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 14, 2025 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Jul 14, 2025 Accepting new patients
Piedmont Triad Anesthesia, PA Anesthesiology CurrentSince Sep 1, 2014 Accepting new patients
Novant Health Rowan Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 14, 2025 Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 14, 2025 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Current Accepting new patients
Medical Park Hospital LLC CurrentSince Jul 14, 2025 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Jul 14, 2025 Accepting new patients
Brunswick Community Hospital, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 14, 2025 Accepting new patients
Nurse Anesthesia of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 18, 2010 Accepting new patients
Carolina Anesthesia Associates PA Anesthesiology CurrentSince Apr 15, 2001 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 14, 2025 Accepting new patients
The Presbyterian Hospital CurrentSince Jul 14, 2025 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Current Accepting new patients
Carolina Regional Anesthesia PLLC Anesthesiology CurrentSince Oct 1, 2012 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jul 14, 2025 Accepting new patients
Forsyth Memorial Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 14, 2025 Accepting new patients
Statesville Hma, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
High Point Regional Health Past Accepting new patients
Greensboro Ophthalmology ASC LLC Anesthesiology Past Accepting new patients

Locations (25 of 27)

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

242A 9th Avenue Dr NE
Hickory, NC 28601
Phone (828) 327-6673

601 N Elm St
High Point, NC 27262
Phone (336) 878-6419

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000

250 Hospital Dr
Lexington, NC 27292
Phone (336) 238-4150

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

218 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-7461

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

145 Kimel Park Dr
Ste 120
Winston Salem, NC 27103
Phone (336) 277-1770

1830 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 448-2427

1901 S Hawthorne Rd
Ste 310
Winston Salem, NC 27103
Phone (336) 448-2427

1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

108 Healthcare Dr
Lancaster, SC 29720
Phone (803) 286-9963

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 1

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1063481497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 CURRAGHMORE RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128852",
            "telephone_number": "336-414-9420",
            "fax_number": "336-766-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 CURRAGHMORE RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128852",
            "telephone_number": "336-414-9420",
            "fax_number": "336-766-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "ROSE",
        "middle_name": "KORDICH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "105351",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8050936/8000282",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.