Individual provider Active NPI

Kyle Winters Calhoun, CRNA

  • Certified Registered Nurse Anesthetist
  • Woodstock, GA
National Provider Identifier
1154868412
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN221514 Issued in GA
Practice address
202 Ashland Dr
Woodstock, GA 30189-7160
Phone
(770) 330-3195
NPI assigned
Jan 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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 RN221514 GA Primary

Addresses

Primary practice location

202 Ashland Dr
Woodstock, GA 30189-7160

Mailing address

202 Ashland Dr
Woodstock, GA 30189-7160
Phone (770) 330-3195

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170822002382 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092087312 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverdale Anesthesia Services LLCGroup PAC ID 2163952284, 21 clinicians
Dpi of Georgia LLCGroup PAC ID 0941546923, 30 clinicians
TMC-West Georgia Anesthesia Associates Inc.Group PAC ID 2365456308, 67 clinicians

Practice addresses (Care Compare)

11 Upper Riverdale Rd SW
Riverdale, GA 30274-2615
Phone (770) 991-8000

300 Colonial Ctr Pkwy
Suite 100N
Roswell, GA 30076-4892
Phone (225) 923-0030

705 Dixie St
Carrollton, GA 30117-3818
Phone (800) 232-5703

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Phone (225) 923-0030

Hospital & facility affiliations

  • Piedmont Cartersville Medical Center Hospital, Cartersville, GA, CCN 110030
  • Southern Regional Medical Center Hospital, Riverdale, GA, CCN 110165
  • Tanner Medical Center - Carrollton Hospital, Carrollton, GA, CCN 110011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN221514GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dpi of Georgia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Grand Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 8, 2025 Accepting new patients
TMC-West Georgia Anesthesia Associates Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
Radiance Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Aug 8, 2022 Accepting new patients
Riverdale Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 20, 2025 Accepting new patients

Locations

1620 Prince Ave
Athens, GA 30606
Phone (706) 546-0170

3886 Princeton Lakes Way SW
Ste 100
Atlanta, GA 30331
Phone (404) 768-1133

1718 Peachtree St NW
Ste 360
Atlanta, GA 30309
Phone (770) 270-5229

2500 Starling St
Ste 604
Brunswick, GA 31520
Phone (912) 280-9977

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

15 Medical Dr NE
Cartersville, GA 30121
Phone (770) 386-5221

15 Medical Dr NE
Ste 101
Cartersville, GA 30121
Phone (770) 386-5221

4050 Riverside Dr
Macon, GA 31210
Phone (478) 744-1710

6326 Peake Rd
Macon, GA 31210
Phone (478) 246-7474

4030 Riverside Park Blvd
Macon, GA 31210
Phone (478) 474-2200

800 1st St
Ste 110
Macon, GA 31201
Phone (478) 743-3466

165 Vann St NE
Marietta, GA 30060
Phone (770) 422-9856

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076
Phone (704) 684-7609

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

100 Presidential Blvd
Fl 4
Bala Cynwyd, PA 19004
Phone (610) 664-2122

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1154868412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ASHLAND DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301897160",
            "telephone_number": "770-330-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ASHLAND DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301897160",
            "telephone_number": "770-330-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "KYLE",
        "middle_name": "WINTERS",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN221514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.