Active NPI
Carl A Preciado, CRNA
- Certified Registered Nurse Anesthetist
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1354
- Practice address
- 7 Independence PT Ste 300
Greenville, SC 29615-4569 - Phone
- (864) 522-3700
- Fax
- (864) 522-3705
- NPI assigned
- Nov 29, 2005
- Last updated
- Mar 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1354 | SC | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | R83960 | SC |
Addresses
Primary practice location
7 Independence PT Ste 300
Greenville, SC 29615-4569
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
298 Memorial Dr
Seneca, SC 29672-9443
Phone (864) 882-3351
Other practice location 2
298 Memorial Dr
Seneca, SC 29672-9443
Phone (864) 882-3351
Other practice location 3
701 Grove Rd
Greenville, SC 29605-4210
Phone (864) 455-7111
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400097 | Other | SC | MEDICAID - GROUP |
| AN1056 | Medicaid | SC | |
| 1152 | Other | SC | MEDICARE - GROUP |
| GP2991 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7 Independence PT
Suite 300
Greenville, SC 29615-4569
Phone (864) 522-3700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1354 | SC | MD | General Practice Dentistry |
| R83960 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Pathology Associates of Greenville PA | Current | Accepting new patients |
Locations
22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100
200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
175 Patewood Dr
Greenville, SC 29615
Phone (864) 797-1000
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602
7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000
298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100
729 SE Main St
Simpsonville, SC 29681
Phone (864) 271-8647
807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
dba GHS Patewood Memorial Hospital
- General Acute Care Hospital
- Greenville, SC
- NPI 1568532513
-
dba Prisma Health Greenville Memorial Hospital
- General Acute Care Hospital
- Greenville, SC
- NPI 1649726738
-
dba GHS Emergency Medicine-Oconee
- Emergency Medicine Physician
- Seneca, SC
- NPI 1033580444
-
dba GHS Cardiovascular SVCS Simp
- General Acute Care Hospital
- Simpsonville, SC
- NPI 1679992838
-
- Anatomic Pathology & Clinical Pathology Physician
- Greenville, SC
- NPI 1831151976
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
dba GHS Pih Dba Umg GVL Anesthes
- Anesthesiology Physician
- Greenville, SC
- NPI 1528465374
-
dba Prisma Health OP Surgery Patewood
- General Acute Care Hospital
- Greenville, SC
- NPI 1144775032
-
dba Prisma Health Wonder Center-Non Medicaid
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1811439649
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Prisma Health Oconee Memorial Hospital
- General Acute Care Hospital
- Seneca, SC
- NPI 1063968196
-
dba Prisma Health Center For Family Medicine-Oconee
- Clinic/Center
- Seneca, SC
- NPI 1407345846
Hospital
-
dba Prisma Health Oconee Pain Management
- Pain Clinic/Center
- Seneca, SC
- NPI 1891237632
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1164405684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 INDEPENDENCE PT STE 300",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154569",
"telephone_number": "864-522-3700",
"fax_number": "864-522-3705"
}
],
"practiceLocations": [
{
"address_1": "298 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Seneca",
"state": "SC",
"postal_code": "296729443",
"country_code": "US",
"telephone_number": "864-882-3351",
"fax_number": "864-885-7619",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "298 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Seneca",
"state": "SC",
"postal_code": "296729443",
"country_code": "US",
"telephone_number": "864-882-3351",
"fax_number": "864-885-7619",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 Grove Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296054210",
"country_code": "US",
"telephone_number": "864-455-7111",
"fax_number": "864-455-6441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRECIADO",
"first_name": "CARL",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "1354",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "R83960",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID - GROUP",
"identifier": "400097",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN1056",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - GROUP",
"identifier": "1152",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP2991",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
- Katelyn Nicole Pratt, M.D.
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- Alexander Pravia, HAS
- Caroline Michelle Pray
- Joseph Gramling Praytor, MD
- Precision Carpentry and Plumbing (Charles Dieterich)
- Precision Eye Care, Johansens and Brown, LLC
- Precision Genetics, Inc.
- Gindy Leeanne Preddy
- Preferred Diagnostic Centers, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.