Individual provider Active NPI

Amy Morales, CRNA

  • Certified Registered Nurse Anesthetist
  • Athens, GA
National Provider Identifier
1063959872
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN209684 Issued in GA
Practice address
1230 Baxter St
Athens, GA 30606-3712
Phone
(706) 227-3450
NPI assigned
Jan 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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 RN209684 GA Primary

Addresses

Primary practice location

1230 Baxter St
Athens, GA 30606-3712

Mailing address

PO Box 3204
Indianapolis, IN 46206-3204

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170302002246 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406130897 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Mak Anesthesia Georgia, LLCGroup PAC ID 7315203718, 108 clinicians

Practice addresses (Care Compare)

5995 Barfield Rd
Sandy Springs, GA 30328-4411
Phone 7707021806210

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blair Gastroenterology Associates Current Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Dec 20, 2022 Accepting new patients
Mak Anesthesia Georgia, LLC CurrentSince Apr 1, 2024 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507

2131 Fountain Dr
Snellville, GA 30078
Phone (770) 736-2225

2306 Wisteria Dr
Ste 100
Snellville, GA 30078
Phone (770) 979-8200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1063959872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3204",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 BAXTER ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063712",
            "telephone_number": "706-227-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "AMY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN209684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.