Tonya Powers Cleveland, MD
Individual provider Active NPI Anesthesiology Physician · Smyrna, SC
NPI 1124061593 · NPPES record last updated Oct 11, 2022
Key facts
- NPI
- 1124061593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 9801450 (NC)
- Practice address
- 893 Martins Gold Mine Rd
Smyrna, SC 29743-9700 - Phone
- (704) 616-7330
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Pain Management
- Education
- University of South Carolina School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CHS Anesthesia Services Group Inc
Practice addresses (Care Compare)
201 E Grover St
Shelby, NC 28150-3917
Phone (980) 487-3000
Hospital & facility affiliations
- Atrium Health Lincoln
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in NC, SC, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100512000513 | NC | Practitioner - Pain Management |
0840374005 | Reassigns benefits to 3 organizations |
| I20130329000160 | SC | Practitioner - Anesthesiology | 0840374005 | Reassigns benefits to 1 organization |
| I20131122001419 | VA | Practitioner - Pain Management | 0840374005 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9801450 | NC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Anesthesia Services Group Inc | Anesthesiology | Current |
Accepting new patients |
| Medstream Anesthesia PLLC | Anesthesiology | Current |
Accepting new patients |
| Pain Management Associates, P.a. | Past | Accepting new patients | |
| Jackson Pediatric Dentistry LLC | Past |
Accepting new patients | |
| Crescent Anesthesia Associates | Anesthesiology | Past | Accepting new patients |
| Gaston Cardiac Anethesis and | Past | Accepting new patients | |
| Gaston Cardiac Anesthesis and | Anesthesiology | Past | Accepting new patients |
Locations
262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210
830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
1700 Skylyn Dr
Spartanburg, SC 29307
Phone (864) 573-3123
391 Serpentine Dr
Ste 200
Spartanburg, SC 29303
Phone (864) 583-6381
1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111
200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0101253670 | VA | |
| Anesthesiology Physician | 207L00000X | 9801450 | NC | Yes |
Addresses
Primary practice location
893 Martins Gold Mine Rd
Smyrna, SC 29743-9700
Mailing address
893 Martins Gold Mine Rd
Smyrna, SC 29743-9700
Phone (704) 616-7330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216812 | Medicaid | SC | |
| 050092405 | Other | NC | MEDICARE ID |
| 050082267 | Other | NC | MEDICARE ID |
| 130R0 | Other | NC | BLUE CROSS |
| 8913ORO | Medicaid | NC |
Other names
- Tonya Kim Powers
Other providers in Smyrna, SC
All providers in Smyrna, SC · Anesthesiology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.