NPIMap

Organization Active NPI

Twin City Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • King, NC
National Provider Identifier
1124582648
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
TWIN CITY ANESTHESIA PLLC
Practice address
402 W King St
King, NC 27021-9170
Phone
(336) 983-9617
Fax
(336) 983-9791
NPI assigned
Jan 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Authorized official

Name
Michael T Williams, CRNANPI 1265827638
Title
Partner
Phone
(336) 682-4402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

402 W King St
King, NC 27021-9170

Mailing address

PO Box 660257
Birmingham, AL 35266-0257
Phone (205) 979-5882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190311001476 NC Part B Supplier - Clinic/Group Practice 8022357938 Receives reassigned benefits from 24 practitioners
Practice locations: King, NC; Sparta, NC
O20210421000914 WV Part B Supplier - Clinic/Group Practice 8022357938 Receives reassigned benefits from 3 practitioners
Practice locations: Beckley, WV

National Provider Directory

National Provider Directory

Locations

19901 W Catawba Ave
Ste 201
Cornelius, NC 28031
Phone (704) 775-8464

951 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7993

200 W Park Cir
Ste A
North Wilkesboro, NC 28659
Phone (336) 818-2700

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1124582648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660257",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352660257",
            "telephone_number": "205-979-5882",
            "fax_number": "205-979-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W KING ST",
            "city": "KING",
            "state": "NC",
            "postal_code": "270219170",
            "telephone_number": "336-983-9617",
            "fax_number": "336-983-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITY ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "336-682-4402",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.