Individual provider Active NPI

James Carl Atha Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Dalhart, TX
National Provider Identifier
1073940482
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP124431 Issued in TX
Practice address
3030 Canyon Trail Rd
Dalhart, TX 79022-7621
Phone
(806) 282-8999
NPI assigned
Sep 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X AP124431 TX
Certified Registered Nurse Anesthetist 367500000X 754112 TX
Certified Registered Nurse Anesthetist 367500000X AP124431 TX Primary

Addresses

Primary practice location

3030 Canyon Trail Rd
Dalhart, TX 79022-7621

Mailing address

3030 Canyon Trail Rd
Dalhart, TX 79022-7621
Phone (806) 282-8999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140214000405 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799914719 Reassigns benefits to 7 organizations
I20190802002399 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799914719

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patriot AnesthesiaGroup PAC ID 6608139308, 5 clinicians
Texas Anesthesia Partners, PLLCGroup PAC ID 3870879828, 27 clinicians
Dallam-Hartley Counties Hospital DistrictGroup PAC ID 0143112805, 17 clinicians
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians
McOn Anesthesia PLLCGroup PAC ID 3173008059, 53 clinicians

Practice addresses (Care Compare)

1007 2ND St
Abernathy, TX 79311-3615
Phone (817) 516-8811

1403 Dartmouth Dr
Southlake, TX 76092-7104
Phone (817) 917-9582

1411 Denver Ave
Dalhart, TX 79022-4809
Phone (806) 249-4571

1600 Wallace Blvd
Greater Houston Anesthesiology
Amarillo, TX 79106-1799
Phone (806) 477-8883

3625 N Hall St
Suite 800
Dallas, TX 75219-5106
Phone (800) 411-7515

Hospital & facility affiliations

  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231
  • Coon Memorial Hospital Hospital, Dalhart, TX, CCN 451331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
754112TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Moore County Hospital District Nurse Anesthetist, Certified Registered CurrentSince Oct 15, 2021 Accepting new patients
Texas Anesthesia Partners, PLLC Interventional Pain Medicine CurrentSince Aug 15, 2018 Accepting new patients
Patriot Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2018 Accepting new patients
Dallam-Hartley Counties Hospital District CurrentSince Dec 7, 2025 Accepting new patients
High Country Community Rural Health Clinic Past Accepting new patients

Locations

1010 S Coulter St
Amarillo, TX 79106
Phone (806) 418-8870

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

320 E Texas Blvd
Dalhart, TX 79022
Phone (806) 244-3824

1411 Denver Ave
Dalhart, TX 79022
Phone (806) 244-4571

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

224 E 2nd St
Dumas, TX 79029
Phone (806) 934-7813

1545 E Southlake Blvd
Southlake, TX 76092
Phone (817) 557-8205

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1073940482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 CANYON TRAIL RD",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790227621",
            "telephone_number": "806-282-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 CANYON TRAIL RD",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790227621",
            "telephone_number": "806-282-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHA",
        "first_name": "JAMES",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-30",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "AP124431",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "754112",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP124431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalhart, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.