George James Antonio II, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Lexington, VA
NPI 1124612957 · NPPES record last updated Nov 18, 2022
Key facts
- NPI
- 1124612957
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 0024185538 (VA)
- Practice address
- 1 Health Cir
Lexington, VA 24450-2448 - Phone
- (540) 458-3300
- NPI assigned
- Feb 23, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carilion Professional Services LLC
Practice addresses (Care Compare)
1 Health Cir
Lexington, VA 24450-2448
Phone (540) 458-3300
Hospital & facility affiliations
- Carilion Stonewall Jackson Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221202000823 | VA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6103229612 | Reassigns benefits to 3 organizations |
| I20231222002215 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6103229612 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R226764 | MD | MD | Certified Registered Nurse Anesthetist |
| 0024185538 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Valley Anesthesia Services PLLC | Current |
Accepting new patients | |
| Surgery Center Anesthesia Providers PC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Carilion Professional Services LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Carilion Medical Center | Past |
Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
320 Lillington Ave
Ste 101
Charlotte, NC 28204
Phone (704) 332-1574
1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
3320 Emmaus Rd
Rockingham, VA 22801
Phone (540) 433-2351
180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R226764 | MD | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024185538 | VA | Yes |
Addresses
Primary practice location
1 Health Cir
Lexington, VA 24450-2448
Mailing address
213 S Jefferson St
Roanoke, VA 24011-1705
Other providers in Lexington, VA
- Amy Allen
- Lynne Carol Altenburg
- Americare Plus , LLC.
- Americare Plus, LLC.
- Amie a. Manis, PHD, PLLC
- Sharron Arbuthnot
- Colleen Arnold
- Melanie Arritt
- Debbie Cash Arthur
- Alex Atwood
All providers in Lexington, VA · Certified Registered Nurse Anesthetist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 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.
- 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.