Individual provider Active NPI

Brenda H. Warren, CRNA

  • Certified Registered Nurse Anesthetist
  • Tifton, GA
National Provider Identifier
1073672119
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN22080 Issued in GA
Practice address
901 18TH St E
Tifton, GA 31794-3648
Phone
(229) 382-7120
NPI assigned
Dec 6, 2006
Last updated
May 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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 ARNP2896722 FL
Certified Registered Nurse Anesthetist 367500000X RN22080 GA Primary

Addresses

Primary practice location

901 18TH St E
Tifton, GA 31794-3648

Mailing address

8201 University Pkwy
Bin 32
Pensacola, FL 32514-4904
Phone (850) 474-8100

Other practice location 1

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Phone (850) 474-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070810000317 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921199563 Reassigns benefits to 7 organizations
I20121029000647 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921199563 Reassigns benefits to 3 organizations
I20150327002169 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921199563 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Florida Panhandle Anesthesia Associates LLCGroup PAC ID 0840625687, 9 clinicians

Practice addresses (Care Compare)

110 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-1825

204 B E 19TH St
Panama City, FL 32405-4707
Phone (850) 769-7599

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP2896722FLMDCertified Registered Nurse Anesthetist
RN22080GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Amsurg Port Orange Anesthesia, LLC CurrentSince Aug 4, 2021 Accepting new patients
SG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 26, 2024 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 27, 2024 Accepting new patients
Gut PC CurrentSince Dec 1, 2017 Accepting new patients
Lala Land Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 28, 2021 Accepting new patients
Amsurg Citrus Anesthesia LLC CurrentSince Aug 4, 2021 Accepting new patients
Southern Alabama Surgery Center LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
Anesthesiologists Associated PC CurrentSince May 1, 2018 Accepting new patients
Amsurg Melbourne Anesthesia LLC CurrentSince Aug 4, 2021 Accepting new patients
American Anesthesiology Associates of Georgia, LLC CurrentSince Jan 1, 2016 Accepting new patients
Amsurg Tampa Bay Anesthesia LLC CurrentSince Jan 25, 2022 Accepting new patients
Gut PC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2017 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2018 Accepting new patients
Anesthesia Associates of Ocala, LLC CurrentSince Aug 4, 2021 Accepting new patients
Florida Panhandle Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 29, 2024 Accepting new patients
Ft. Walton Beach Anesthesia Services LLC Past Accepting new patients
Fort Walton Beach Anesthesia LLC Past Accepting new patients

Locations (25 of 28)

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

1450 Ross Clark Cir
Ste 4
Dothan, AL 36301
Phone (334) 699-7900

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

480 Honeysuckle Rd
Dothan, AL 36305
Phone (334) 792-6933

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

6015 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 304-3971

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

1401 S Apollo Blvd
Ste B
Melbourne, FL 32901
Phone (321) 725-5151

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

1160 SE 18th Pl
Ocala, FL 34471
Phone (352) 732-8905

2861 Delaney Ave
Ste A
Orlando, FL 32806
Phone (407) 472-5095

204B E 19th St
Panama City, FL 32405
Phone (850) 769-7599

3635 Clyde Morris Blvd
Ste 500
Port Orange, FL 32129
Phone (386) 760-8151

4809 N Armenia Ave
Ste 100
Tampa, FL 33603
Phone (813) 872-9310

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

326 Shirley Ave
Douglas, GA 31533
Phone (404) 606-2069

763 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 985-1994

215 Mims Rd
Sylvania, GA 30467
Phone (912) 557-1207

1111 20th St E
Tifton, GA 31794
Phone (229) 382-9338

1622 Madison Ave
Tifton, GA 31794
Phone (229) 387-8061

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

Organizations & group practices 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1073672119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 UNIVERSITY PKWY",
            "address_2": "BIN 32",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325144904",
            "telephone_number": "850-474-8100",
            "fax_number": "850-474-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 18TH ST E",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943648",
            "telephone_number": "229-382-7120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Mar Walt Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476708",
            "country_code": "US",
            "telephone_number": "850-474-8100",
            "fax_number": "850-474-8083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "BRENDA",
        "middle_name": "H.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2896722",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN22080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.