Individual provider Active NPI

Teresa Dianne Hutson, CRNA

  • Certified Registered Nurse Anesthetist
  • Jesup, GA
National Provider Identifier
1164405304
Registry record updated Jan 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN082039 Issued in GA
Practice address
865 S 1St St
Jesup, GA 31545-0210
Phone
(912) 427-6811
Fax
(706) 660-9390
NPI assigned
Nov 22, 2005
Last updated
Jan 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 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 RN082039 GA Primary

Addresses

Primary practice location

865 S 1St St
Jesup, GA 31545-0210

Mailing address

PO Box 2585
Columbus, GA 31902-2585
Phone (706) 660-8505

Other identifiers 1

IdentifierTypeStateIssuer
000558665CMedicaidGA

Other names 1

  • Teresa Dianne Hester Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090609000375 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012067267 Reassigns benefits to 2 organizations
I20210524000900 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012067267 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

2416 Lynndale Rd
Fernandina Beach, FL 32034-5201
Phone (904) 432-1521

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN082039GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2021 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Mar 1, 2025 Accepting new patients
Hospital Authority of Wayne County Georgia CurrentSince Aug 1, 1997 Accepting new patients
Hospital Authority of Wayne County Georgia Nurse Anesthetist, Certified Registered Current Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 24, 2024 Accepting new patients
Hospital Authority of Wayne County Georgia CurrentSince Aug 1, 1997 Accepting new patients
Elite Anesthesia Solutions, LLC Past Accepting new patients
Anesthesia Associates of Savannah ,PA Past Accepting new patients
Sai Nursing Home Services, LLC Past Accepting new patients

Locations

3220 N St NW
Washington, DC 20007
Phone (202) 338-6051

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

2416 Lynndale Rd
Fernandina Beach, FL 32034
Phone (904) 432-1521

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

200 N River St
Claxton, GA 30417
Phone (912) 739-2611

865 N 1St St
Jesup, GA 31545
Phone (912) 427-6811

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

400 Cedar St
Metter, GA 30439
Phone (912) 685-1726

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327708800000",
    "number": "1164405304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2585",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319022585",
            "telephone_number": "706-660-8505",
            "fax_number": "706-660-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 S 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450210",
            "telephone_number": "912-427-6811",
            "fax_number": "706-660-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTSON",
        "first_name": "TERESA",
        "middle_name": "DIANNE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2012-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN082039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000558665C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "HESTER",
            "middle_name": "DIANNE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jesup, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.