Keri Ann Paulk, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN212553 Issued in GA

Practice address

901 Griffin Ave
Eastman, GA 31023-6720

Phone

(478) 448-4020

Fax

(478) 448-4020

NPI assigned

Jan 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Keri Ann Yanovich Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coffee Regional Medical Center IncGroup PAC ID 4587656012, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coffee Regional Medical Center, Inc Hospital, Douglas, GA, CCN 110089

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coffee Regional Medical Center, Inc

  • Anesthesiology Physician
  • Douglas, GA
  • NPI 1437120946

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Southern Sleepers Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Douglas, GA
  • NPI 1720520646

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official
• Guardian Medical Services, LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1255786521

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Irwin County Anesthesia, Inc.

  • Certified Registered Nurse Anesthetist
  • Ocilla, GA
  • NPI 1275754103

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Lala Land Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Tifton, GA
  • NPI 1093242422

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sweet Dreams Anesthesiology Nurses of Georgia LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1669737409

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sweet Dreams Nurse Anesthesia, Inc.

  • Certified Registered Nurse Anesthetist
  • Alpharetta, GA
  • NPI 1649463365

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Coffee Regional Medical Center, Inc

  • Rural Health Clinic/Center
  • Douglas, GA
  • NPI 1639211956
  Care Compare group NPD
• Coffee Regional Medical Center, Inc

  • General Acute Care Hospital
  • Douglas, GA
  • NPI 1760419527
  Care Compare group
• Coffee Regional Medical Center

  • Pharmacy
  • Douglas, GA
  • NPI 1679784680
  NPD
• Tift Regional Health System Inc

  • Ophthalmology Physician
  • Tifton, GA
  • NPI 1790280857
  NPD
• Tift Regional Health System Inc.

  • General Acute Care Hospital
  • Tifton, GA
  • NPI 1962462226
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Coffee Regional Medical Center, Inc

  • General Acute Care Hospital
  • Douglas, GA
  • NPI 1760419527

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1144525940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 SUGAR CREEK LN",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310233784",
            "telephone_number": "229-646-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 GRIFFIN AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236720",
            "telephone_number": "478-448-4020",
            "fax_number": "478-448-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULK",
        "first_name": "KERI",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9236806",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN212553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003105271A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031395-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERI",
            "last_name": "YANOVICH",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tammie Dianne Oliver, FNP
• Amanda Llyn Parkerson, FNP-C
• James L. Parkerson, O.D.
• Patricia Patterson MD LLC
• Catherine Thompson Patrick, NP
• Emory F Peacock
• Michael Todd Peacock, M.D.
• Johnny R Peeples, MD
• Michele Lee Pennington, MD
• Debbie Duffee Persinger

• All providers in Eastman, GA
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.