Individual provider Active NPI

Paula Carroll, CRNA

  • Certified Registered Nurse Anesthetist
  • Hartwell, GA
National Provider Identifier
1104972801
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN097148 Issued in GA
Practice address
155 Idlewood LN
Hartwell, GA 30643-6507
Phone
(706) 436-0730
NPI assigned
Jan 26, 2007
Last updated
Apr 8, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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 RN097148 GA Primary

Addresses

Primary practice location

155 Idlewood LN
Hartwell, GA 30643-6507

Mailing address

155 Idlewood LN
Hartwell, GA 30643-6507
Phone (706) 436-0730

Other identifiers 3

IdentifierTypeStateIssuer
000786453IMedicaidGA
000786453EMedicaidGA
000786453JMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040204000531 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214820240 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Lanier Anesthesia Associates LLCGroup PAC ID 4082061635, 7 clinicians
Vituity-Georgia Anesthesia PCGroup PAC ID 6901331339, 24 clinicians

Practice addresses (Care Compare)

2324 Gainesville Overlook
Suite 200
Gainesville, GA 30501-7443
Phone (770) 536-8109

367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Phone (706) 356-7800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Lanier Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Ingram Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2009 Accepting new patients
Vituity-Georgia Anesthesia PC CurrentSince Sep 1, 2024 Accepting new patients
Vituity-Georgia Anesthesia PC CurrentSince Sep 1, 2024 Accepting new patients
Aaoc Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2012 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 26, 2018 Accepting new patients
Cobb Enterprises LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2009 Accepting new patients
Gastroenterology Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2020 Accepting new patients
Oconee River Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Clinical Colleagues LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2015 Accepting new patients
Ty Cobb Healthcare System Past Accepting new patients
Sleep and Sinus Centers ASC, LLC Past Accepting new patients
Ty Cobb Healthcare System, Inc Past Accepting new patients
Atlanta Allergy & Otolaryngology Center, LLC Past Accepting new patients
Augusta University Past Accepting new patients
Northeast Georgia Physicians Group Inc PastSince Aug 3, 2026 Accepting new patients
Braselton Endoscopy Center, LLC PastSince Oct 25, 2018 Accepting new patients

Locations

340 N Milledge Ave
Athens, GA 30601
Phone (706) 548-0008

1515 River Pl
Ste 320
Braselton, GA 30517
Phone (678) 997-2125

2100 North Ave
Columbus, GA 31904
Phone (706) 243-0624

70 Medical Center Dr
Commerce, GA 30529
Phone (706) 335-1000

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

2324 Limestone Overlook
Ste 200
Gainesville, GA 30501
Phone (312) 724-7441

138 W Gibson St
Hartwell, GA 30643
Phone (702) 223-3333

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-1072

771 Old Norcross Rd
Ste 135
Lawrenceville, GA 30046

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

1360 Caduceus Way
Bldg 300
Watkinsville, GA 30677
Phone (706) 850-4985

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIHJBA

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

Hospital & facility affiliations 1

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1104972801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 IDLEWOOD LN",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306436507",
            "telephone_number": "706-436-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 IDLEWOOD LN",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306436507",
            "telephone_number": "706-436-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "PAULA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN097148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000786453I",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000786453E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000786453J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartwell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.