Active NPI
Gerald Pedersen, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Zachary, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 44332
- Practice address
- 6300 Main St
Zachary, LA 70791-4037 - Phone
- (225) 658-4000
- NPI assigned
- Jun 13, 2006
- Last updated
- May 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 23775 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 44332 | LA | Primary |
Addresses
Primary practice location
6300 Main St
Zachary, LA 70791-4037
Mailing address
3617 Hyacinth Ave
Baton Rouge, LA 70808-2933
Phone (225) 389-2928
Other practice location 1
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN3110 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, GA, SC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10105 Park Rowe Cir
Baton Rouge, LA 70810-1688
Phone (225) 906-4843
17000 Medical Ctr Dr
Baton Rouge, LA 70816-3246
Phone (225) 752-2470
300 Colonial Ctr Pkwy
Suite 100N
Roswell, GA 30076-4892
Phone (225) 923-0030
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44332 | LA | MD | Certified Registered Nurse Anesthetist |
| 23775 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dpi of Louisiana LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Dpi of Georgia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Dpi Pain Management LLC | Current | Accepting new patients | |
| Nuedge Anesthesia LLC | Current | Accepting new patients | |
| Diversified Professionals, Inc. | Current | Accepting new patients | |
| Hospital Service District No. 1 of Iberia Parish | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hospital Service District No 1 of Iberia Parish | Current | Accepting new patients | |
| The Capital City Anesthesia Group, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Dpi of Alabama LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076
Phone (704) 684-7609
10105 Park Rowe Cir
Baton Rouge, LA 70810
Phone (225) 763-9900
17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470
5222 Brittany Dr
Baton Rouge, LA 70808
Phone (225) 215-3443
7145 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 765-3111
7301 Hennessy Blvd
#100
Baton Rouge, LA 70808
Phone (225) 215-3443
7301 Hennessy Blvd
Ste 100
Baton Rouge, LA 70808
Phone (225) 763-6011
7310 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 236-3100
7777 Hennessy Blvd
Ste 301
Baton Rouge, LA 70808
Phone (225) 214-6436
8946 Interline Ave
Ste C
Baton Rouge, LA 70809
Phone (225) 529-1143
2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441
4845 Main St
#A
Zachary, LA 70791
Phone (225) 306-0100
6300 Main St
Zachary, LA 70791
Phone (225) 570-2618
6550 Main St
Ste 2600
Zachary, LA 70791
Phone (225) 570-6357
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
Organizations & group practices 11
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.
-
- Anesthesiology Physician
- Baton Rouge, LA
- NPI 1144083387
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Baton Rouge, LA
- NPI 1629759782
-
- Anesthesiology Physician
- Roswell, GA
- NPI 1407323199
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Baton Rouge, LA
- NPI 1700923992
-
dba Iberia Medical Center
- General Acute Care Hospital
- New Iberia, LA
- NPI 1780690180
-
- Cardiovascular Disease Physician
- Charleston, SC
- NPI 1740502822
-
- Pain Medicine Physician
- Zachary, LA
- NPI 1487024527
-
dba Iberia Medical Center
- Rehabilitation Hospital Unit
- New Iberia, LA
- NPI 1992159925
-
dba St. Francis Anesthesia
- Anesthesiology Physician
- Charleston, SC
- NPI 1871035956
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Baton Rouge, LA
- NPI 1245282466
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Moody, AL
- NPI 1548757420
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lane Endoscope Center
- Endoscopy Clinic/Center
- Zachary, LA
- NPI 1255080503
Hospital
-
dba Lane Regional Medical Center
- General Acute Care Hospital
- Zachary, LA
- NPI 1376591941
-
dba Lane Regional Medical Center - Lane Health & Wellness Clinic
- Psychiatry Physician
- Zachary, LA
- NPI 1679466577
Hospital
-
dba Lane Regional Medical Center - LANE ALLERGY ASTHMA AND IMMUNOLOGY
- Allergy & Immunology Physician
- Zachary, LA
- NPI 1740061076
Hospital
-
- Gastroenterology Physician
- Zachary, LA
- NPI 1952878506
Hospital
-
dba Lane Regional Medical Center-Lane Dermatology
- Dermatology Physician
- Zachary, LA
- NPI 1992477111
Hospital
-
dba The Spine Hospital of Louisiana
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1932204427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716076800000",
"number": "1093758716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3617 HYACINTH AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708082933",
"telephone_number": "225-389-2928",
"fax_number": "225-389-2931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 MAIN ST",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707914037",
"telephone_number": "225-658-4000"
}
],
"practiceLocations": [
{
"address_1": "2095 Henry Tecklenburg Dr",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294145733",
"country_code": "US",
"telephone_number": "843-402-1436",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEDERSEN",
"first_name": "GERALD",
"name_prefix": "Mr.",
"credential": "C.R.N.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2024-05-19",
"certification_date": "2024-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "23775",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "44332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN3110",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zachary, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2024; 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.