Individual provider Active NPI

Ronald C Deatley, CRNA

  • Certified Registered Nurse Anesthetist
  • Charlotte, NC
National Provider Identifier
1164467718
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3249 Issued in NC
Practice address
200 Hawthorne LN
Charlotte, NC 28204-2515
Phone
(704) 384-4274
Fax
(704) 384-5636
NPI assigned
Jun 18, 2006
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 070239 NC
Certified Registered Nurse Anesthetist 367500000X 3249 NC Primary

Addresses

Primary practice location

200 Hawthorne LN
Charlotte, NC 28204-2515

Mailing address

PO Box 601549
Charlotte, NC 28260-1549
Phone (704) 384-4239

Other identifiers 3

IdentifierTypeStateIssuer
AN1391MedicaidSC
8051968MedicaidNC
8053385MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RDEATLEY199433@DIRECT.NOVANTHEALTH.ORG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040223000026 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941195531 Reassigns benefits to 17 organizations
I20240206001841 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941195531 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Firsthealth of the Carolinas IncGroup PAC ID 8820909377, 138 clinicians
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians

Practice addresses (Care Compare)

155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 215-1000

200 Hospital Dr
Galax, VA 24333-2227
Phone (276) 236-1659

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-5000

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-2325

612 Mocksville Ave
Salisbury, NC 28144-2732
Phone (336) 277-8757

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070239NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Park Hospital LLC CurrentSince Apr 29, 2020 Accepting new patients
Novant Health Thomasville Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 29, 2020 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Current Accepting new patients
Novant Health Mint Hill Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2018 Accepting new patients
The Presbyterian Hospital CurrentSince Feb 20, 2017 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2017 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Feb 20, 2017 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Current Accepting new patients
Valley Anesthesia PC CurrentSince Dec 23, 2023 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 29, 2020 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Oct 19, 2014 Accepting new patients
Mission Health Community Multispecialty Providers, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2025 Accepting new patients
Novant Health Rowan Medical Center LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2017 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Current Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Apr 1, 2025 Accepting new patients
Medical Park Hospital LLC CurrentSince Apr 29, 2020 Accepting new patients
Atlantic Medical Group PC CurrentSince Dec 29, 2025 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Apr 29, 2020 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 28, 2024 Accepting new patients
Brunswick Community Hospital, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 20, 2017 Accepting new patients
Rowan Regional Medical Center CurrentSince Oct 19, 2014 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 29, 2020 Accepting new patients
The Presbyterian Hospital CurrentSince Feb 20, 2017 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Current Accepting new patients
Novant Health Ballantyne Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Carteret County General Hospital Corporation CurrentSince Jul 29, 2025 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Apr 29, 2020 Accepting new patients
Atlantic Medical Group PC CurrentSince Dec 29, 2025 Accepting new patients
Dogwood Anesthesia Providers, LLC CurrentSince Apr 23, 2024 Accepting new patients
Forsyth Memorial Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 29, 2020 Accepting new patients
Metrolina Anesthesia LLC Nurse Anesthetist, Certified Registered PastSince Dec 1, 2007 Accepting new patients
Mooresville Hospital Management Associates LLC Past Accepting new patients
Grant Anesthesia Services LTD Past Accepting new patients
The Presbyterian Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Mooresville Hospital Management Associates, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Pain Management & Anesthesiology Associates LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Gaston Anesthesia Associates, P.a. Nurse Anesthetist, Certified Registered Past Accepting new patients
Mercy Hospital, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

4 Josh Ct
Jacksonville, NC 28546
Phone (252) 527-3636

1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000

2541 N Queen St
Kinston, NC 28501
Phone (252) 527-3636

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Interoperability endpoints

  • Direct secure messaging: rdeatley199433@direct.novanthealth.org

Organizations & group practices 42

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.

View all 42

Hospital & facility affiliations 7

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1164467718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601549",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601549",
            "telephone_number": "704-384-4239",
            "fax_number": "704-384-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWTHORNE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042515",
            "telephone_number": "704-384-4274",
            "fax_number": "704-384-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEATLEY",
        "first_name": "RONALD",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "070239",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "3249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN1391",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8051968",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8053385",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RDEATLEY199433@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "200 Hawthorne Ln",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282042515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.