Individual provider Active NPI

Thomas A Opilka, CRNA

  • Certified Registered Nurse Anesthetist
  • Demorest, GA
National Provider Identifier
1134493596
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN194877 Issued in GA
Practice address
541 Historic Hwy 441 N
Demorest, GA 30535
Phone
(706) 839-6205
Fax
(706) 754-9668
NPI assigned
Mar 2, 2012
Last updated
Mar 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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 RN194877 GA Primary

Addresses

Primary practice location

541 Historic Hwy 441 N
Demorest, GA 30535

Mailing address

PO Box 369
Turnerville, GA 30580-0369
Phone (706) 839-6205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140729002206 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426212655 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union City Anesthesia GroupGroup PAC ID 2062577547, 7 clinicians

Practice addresses (Care Compare)

1201 Bishop St
Union City, TN 38261-5403
Phone (731) 885-0787

301 Tyson Ave
Paris, TN 38242-4544
Phone (731) 642-1220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN194877GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Medical Center Current Accepting new patients
Habersham Anesthesia Associates Nurse Anesthetist, Certified Registered CurrentSince Apr 25, 2012 Accepting new patients
Union City Anesthesia Group Nurse Anesthetist, Certified Registered CurrentSince May 2, 2014 Accepting new patients
West Tennessee Healthcare Henry County Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2016 Accepting new patients
Kentenn Anesthesia Nurse Anesthetist, Certified Registered CurrentSince May 1, 2016 Accepting new patients
West Tennessee Anesthesia, PC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2019 Accepting new patients
West Tennessee Healthcare Henry County CurrentSince May 29, 2025 Accepting new patients
Henry County Medical Center CurrentSince Jul 1, 2016 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2016 Accepting new patients
Northstar Anesthesia of Tennessee, PLLC CurrentSince Apr 13, 2015 Accepting new patients
Lifelinc Anesthesia II, PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 25, 2021 Accepting new patients

Locations

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

17 Brentshire Sq
Ste C
Jackson, TN 38305
Phone (731) 664-1717

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

36 Brentshire Sq
Jackson, TN 38305
Phone (501) 664-1717

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

2200 Union Ave
Memphis, TN 38104
Phone (901) 274-5813

3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017

1015 Kelley Dr
Ste 200
Paris, TN 38242
Phone (731) 644-2271

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

1109 E Reelfoot Ave
Ste C
Union City, TN 38261
Phone (731) 884-0600

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001
  • FHIR API: https://fhir-myrecord.cerner.com/r4/b673e6c7-c87b-498f-86b2-99b24c52c924/

Organizations & group practices 11

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 2

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": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1134493596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "TURNERVILLE",
            "state": "GA",
            "postal_code": "305800369",
            "telephone_number": "706-839-6205",
            "fax_number": "706-754-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 HISTORIC HWY 441 N",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "30535",
            "telephone_number": "706-839-6205",
            "fax_number": "706-754-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPILKA",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN194877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Demorest, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.