Individual provider Active NPI

Tracy Ganes, CRNA

  • Certified Registered Nurse Anesthetist
  • Manning, SC
National Provider Identifier
1164482196
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN2641 Issued in SC
Practice address
10 E Hospital Street
Anesthesia Department
Manning, SC 29102
Phone
(803) 435-8463
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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 APN2641 SC Primary

Addresses

Primary practice location

10 E Hospital Street
Anesthesia Department
Manning, SC 29102

Mailing address

10 E Hospital Street
Anesthesia Department
Manning, SC 29102
Phone (803) 435-8463

Other identifiers 2

IdentifierTypeStateIssuer
AN1441MedicaidSC
2641OtherSCLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927001415 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557396736 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of South Carolina School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

10 E Hospital St
Manning, SC 29102-3153
Phone (803) 435-8463

Hospital & facility affiliations

  • McLeod Health Clarendon Hospital, Manning, SC, CCN 420109
  • McLeod Medical Center - Dillon Hospital, Dillon, SC, CCN 420005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN2641SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Clarendon CurrentSince Apr 1, 2017 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 6, 2018 Accepting new patients
McLeod Physician Associates II CurrentSince Jul 1, 2021 Accepting new patients
Coastal Healthcare Resources Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2018 Accepting new patients
McLeod Physician Associates II CurrentSince Jul 1, 2021 Accepting new patients
McLeod Health Clarendon CurrentSince Apr 1, 2017 Accepting new patients
McLeod Health Clarendon Nurse Anesthetist, Certified Registered Current Accepting new patients
Anesthesia Network Services, LLC Past Accepting new patients
Prisma Health-Midlands Past Accepting new patients

Locations

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

309 W Pine St
Florence, SC 29501
Phone (843) 662-4524

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

200 E Hospital St
Manning, SC 29102
Phone (803) 433-0439

3545 Highway 17
Murrells Inlt, SC 29576
Phone (843) 294-1941

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

Organizations & group practices 9

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 2

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1164482196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E HOSPITAL STREET",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "29102",
            "telephone_number": "803-435-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E HOSPITAL STREET",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "29102",
            "telephone_number": "803-435-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANES",
        "first_name": "TRACY",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "APN2641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN1441",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2641",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manning, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.