Timothy P.a. Prieto-Kop, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN185024 Issued in GA

Practice address

315 Liberty Street
Waynesboro, GA 30830

Phone

(706) 554-4435

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, KS, SC3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Washington County Regional Medical Center Hospital, Sandersville, GA, CCN 110086

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 26)

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.

• Medstream Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1649616160

  GA, Single Specialty

  Medicare reassignment Care Compare group NPD
• Au Medical Associates Anesthesia Billing Services, LLC

  • Anesthesiology Physician
  • Augusta, GA
  • NPI 1801843933

  Single Specialty

  Medicare reassignment NPD
• Center for Podiatry Care

  • Podiatrist
  • Martinez, GA
  • NPI 1174695357

  Single Specialty

  Medicare reassignment NPD
• Nmda Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1306123336

  Single Specialty

  Medicare reassignment NPD
• Sweet Dreams Nurse Anesthesia, Inc.

  • Certified Registered Nurse Anesthetist
  • Alpharetta, GA
  • NPI 1649463365

  Single Specialty

  Medicare reassignment NPD
• Sweet Dreams Nurse Anesthesiology LLC

  • Certified Registered Nurse Anesthetist
  • Alpharetta, GA
  • NPI 1891005989

  Single Specialty

  Medicare reassignment NPD
• Self Regional Healthcare Partners

  • Critical Access Hospital
  • Edgefield, SC
  • NPI 1922582105

  Single Specialty

  Medicare reassignment NPD
• Sweet Dreams Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Chattanooga, TN
  • NPI 1508133497

  KS, Single Specialty

  Medicare reassignment NPD
• Self Regional Healthcare Partners

  • Community/Retail Pharmacy
  • Edgefield, SC
  • NPI 1073486494
  NPD
• Sentry Anesthesia Management, LLC

  • Anesthesiology Physician
  • Newnan, GA
  • NPI 1134544794

  Single Specialty

  NPD (past)
• North Texas Anesthesia Group L.L.P

  • Specialist
  • Wichita Falls, TX
  • NPI 1669505319

  Single Specialty

  NPD (past)
• North Texas Anesthesia Group L.L.P.

  • Specialist
  • Wichita Falls, TX
  • NPI 1033322383

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Authority of Washington County

  • Rural Acute Care Hospital
  • Sandersville, GA
  • NPI 1396770004
  Care Compare affiliation
• Hospital Authority of Washington County

  • Physical Therapy Clinic/Center
  • Sandersville, GA
  • NPI 1528619491

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1083717029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SHADY OAK LANE",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "30830",
            "telephone_number": "706-554-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 LIBERTY STREET",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "30830",
            "telephone_number": "706-554-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIETO-KOP",
        "first_name": "TIMOTHY",
        "middle_name": "P.A.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WY",
            "license": "23367.0820",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0005022-CRNA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN185024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mily Pena
• Jannet Peroti, PHARMD
• Shay Petro
• Preeti R Poley, M.D.
• Hannah Prescott, MHS, OTR/L, RBT
• Tonya Raborn, LPN
• Susan S. Ragains, RN,FNP-BC
• Vashistha Ramcharan, LPC
• Wendi Rawlins
• Kadeshia Ready

• Certified Registered Nurse Anesthetist in Waynesboro, GA
• Providers in Waynesboro, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.