Thomas A Opilka, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Demorest, GA
NPI 1134493596 · NPPES record last updated Mar 2, 2012
Key facts
- NPI
- 1134493596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN194877 (GA)
- Practice address
- 541 Historic Hwy 441 N
Demorest, GA 30535 - Phone
- (706) 839-6205
- Fax
- (706) 754-9668
- NPI assigned
- Mar 2, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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 Group
West Tennessee Healthcare Henry County
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
- Baptist Memorial Hospital Union City
- West Tennessee Healthcare Henry County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140729002206 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8426212655 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN194877 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry County Medical Center | Current | Accepting new patients | |
| Lifelinc Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Northstar Anesthesia of Tennessee, PLLC | Current |
Accepting new patients | |
| West Tennessee Healthcare Henry County | Current |
Accepting new patients | |
| West Tennessee Healthcare Henry County | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Lifelinc Anesthesia II, PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Henry County Medical Center | Current |
Accepting new patients | |
| Kentenn Anesthesia | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| West Tennessee Anesthesia, PC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Habersham Anesthesia Associates | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Union City Anesthesia Group | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000
257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283
17 Brentshire Sq
Ste C
Jackson, TN 38305
Phone (731) 664-1717
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
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
1109 E Reelfoot Ave
Ste C
Union City, TN 38261
Phone (731) 884-0600
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/b673e6c7-c87b-498f-86b2-99b24c52c924/
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN194877 | GA | Yes |
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
Other providers in Demorest, GA
- Northside Imaging LLC
- Northwest Diagnostic Imaging, Inc
- Ogles Oxygen, LLC
- Richard A Olson
- Open MRI of Georgia, Inc
- Alan R Opsahl
- Sarah Jeanette Parker
- Susan Jane Parr
- Parrs Pro Hearing Services Inc
- Barbara Parsons
All providers in Demorest, GA · Certified Registered Nurse Anesthetist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2012. 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.