Organization Active NPI

Sentry Anesthesia Management, LLC

  • Anesthesiology Physician
  • Newnan, GA
National Provider Identifier
1134544794
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SENTRY ANESTHESIA MANAGEMENT, LLC
Practice address
80 Newnan Station Dr
Suite a
Newnan, GA 30265-3194
Phone
(770) 251-2060
Fax
(678) 854-9235
NPI assigned
Feb 19, 2014
Last updated
May 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Authorized official

Name
Mr. Barry A Cranfill, CRNA
Title
Practice Administrator
Phone
(770) 251-2060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X

Addresses

Primary practice location

80 Newnan Station Dr
Suite a
Newnan, GA 30265-3194

Mailing address

PO Box 73709
Newnan, GA 30271-3709
Phone (239) 610-0775

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140521002571 GA Part B Supplier - Clinic/Group Practice 9436372323 Receives reassigned benefits from 721 practitioners

National Provider Directory

National Provider Directory

Locations

2325 Prince Ave
Athens, GA 30606
Phone (706) 369-8440

3200 Downwood Cir NW
Atlanta, GA 30327
Phone (404) 351-0051

3280 Howell Mill Rd NW
Ste 321
Atlanta, GA 30327
Phone (404) 946-8323

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

2750 Owens Rd SW
Ste A
Conyers, GA 30094
Phone (678) 413-4644

1233 Highway 54 W
Ste 205
Fayetteville, GA 30214
Phone 4043517654160

705 Jesse Jewell Pkwy SE
Ste 125
Gainesville, GA 30501
Phone (678) 640-4679

6300 Hospital Pkwy
Ste 375B
Johns Creek, GA 30097
Phone (770) 771-5265

307 Church St
Ste A
Lagrange, GA 30240
Phone (706) 812-2229

3708 Northside Dr
Macon, GA 31210
Phone (478) 254-5303

400 Tower Rd NE
Ste 350
Marietta, GA 30060
Phone (770) 590-1078

1755 Highway 34 E
Ste 1100
Newnan, GA 30265
Phone (770) 252-7510

80 Newnan Station Dr
Ste A
Newnan, GA 30265

1100 Johnson Fy Rd NE
Ste 593
Sandy Springs, GA 30342
Phone (404) 255-9096

5673 Peachtree Dunwoody Rd
Ste 800
Sandy Springs, GA 30342
Phone (404) 255-5595

4425 Paulsen St
Fl 2
Savannah, GA 31405
Phone (912) 350-2820

115 Eagle Spring Dr
Ste 201
Stockbridge, GA 30281
Phone (770) 474-0064

165 Northpark Trl
Stockbridge, GA 30281
Phone (770) 506-1800

2685 Peachtree Pkwy
Suwanee, GA 30024
Phone (770) 771-5260

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

310 Maple Dr
Vidalia, GA 30474
Phone (912) 537-4119

1357 Oconee Connector
Ste 102
Watkinsville, GA 30677
Phone 6783448900156

Practitioners & affiliated clinicians

Practitioners 825

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 825

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1134544794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73709",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302713709",
            "telephone_number": "239-610-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 NEWNAN STATION DR",
            "address_2": "SUITE A",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302653194",
            "telephone_number": "770-251-2060",
            "fax_number": "678-854-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTRY ANESTHESIA MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "CRANFILL",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "770-251-2060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.