Individual provider Active NPI

Erica Logan Newberry, DNP-NA

  • Certified Registered Nurse Anesthetist
  • Reidsville, GA
National Provider Identifier
1124850011
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN269810 Issued in GA
Practice address
247 S Main St
Reidsville, GA 30453-4605
Phone
(912) 557-1000
NPI assigned
Aug 19, 2024
Last updated
May 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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 RN269810 GA Primary

Addresses

Primary practice location

247 S Main St
Reidsville, GA 30453-4605

Mailing address

410 Douglas St
Alma, GA 31510-1952
Phone (912) 424-1765

Other practice location 1

302 S Wayne St
Alma, GA 31510-2922
Phone (912) 632-8961

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250324001235 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042732661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Florida International Univ, College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams Southeast LLCGroup PAC ID 3870880792, 83 clinicians

Practice addresses (Care Compare)

1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 283-3030

302 S Wayne St
Bacon Co Hospital
Alma, GA 31510-0987
Phone (912) 632-8961

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN269810GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology Associates of Georgia, LLC CurrentSince Apr 1, 2025 Accepting new patients
Bacon County Health Services, Inc. CurrentSince Feb 5, 2025 Accepting new patients
The Urology Institute Ambulatory Surgery Center PastSince Aug 1, 2024 Accepting new patients

Locations

302 S Wayne St
Alma, GA 31510
Phone (912) 632-8961

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

101 Saint Josephs Candler Dr
Pooler, GA 31322
Phone (912) 450-1945

247 S Main St
Reidsville, GA 30453
Phone (478) 787-6255

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

11909 McAuley Dr
Ste B
Savannah, GA 31419
Phone (912) 819-2237

210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Organizations & group practices 4

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.

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": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1124850011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 DOUGLAS ST",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315101952",
            "telephone_number": "912-424-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 S MAIN ST",
            "city": "REIDSVILLE",
            "state": "GA",
            "postal_code": "304534605",
            "telephone_number": "912-557-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 S Wayne St",
            "address_purpose": "LOCATION",
            "city": "Alma",
            "state": "GA",
            "postal_code": "315102922",
            "country_code": "US",
            "telephone_number": "912-632-8961",
            "fax_number": "912-632-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWBERRY",
        "first_name": "ERICA",
        "middle_name": "LOGAN",
        "credential": "DNP-NA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN269810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.