Individual provider Active NPI

William Enrique Agudelo, CRNA

  • Certified Registered Nurse Anesthetist
  • Macon, GA
National Provider Identifier
1174512602
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN092922 Issued in GA
Practice address
380 Hospital Drive
Suite 410
Macon, GA 31217-8014
Phone
(478) 746-5644
Fax
(478) 745-4849
NPI assigned
Oct 18, 2005
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN2487 SC
Certified Registered Nurse Anesthetist 367500000X APRN11042815 FL
Certified Registered Nurse Anesthetist 367500000X RN092922 GA Primary

Addresses

Primary practice location

380 Hospital Drive
Suite 410
Macon, GA 31217-8014

Mailing address

PO Box 2564
Macon, GA 31203-2565
Phone (478) 746-5644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070912000438 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628062072 Reassigns benefits to 15 organizations
I20171213000388 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628062072 Reassigns benefits to 2 organizations
I20190613002235 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628062072 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Anesthesia LLCGroup PAC ID 0345579876, 29 clinicians
Vertex Anesthesia Associates LLCGroup PAC ID 8022547306, 16 clinicians
Overwatch AnesthesiaGroup PAC ID 3678949146, 69 clinicians
Integrated Anesthesia Solutions LLCGroup PAC ID 2466972377, 22 clinicians

Practice addresses (Care Compare)

1960 Hwy 247 Connector
Byron, GA 31008-5663
Phone (478) 654-2000

2400 Osler CT
Albany, GA 31707-0205
Phone (229) 883-1503

2500 Starling St
Suite 604
Brunswick, GA 31520-4271
Phone (912) 280-9977

802 Green Valley Rd
Suite 101
Greensboro, NC 27408-7099
Phone (878) 831-4500

865 S 1St St
Jesup, GA 31545-0210
Phone (912) 427-6811

874 Lanier Ave W
Suite 100
Fayetteville, GA 30214-7659
Phone (770) 461-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11042815FLMDCertified Registered Nurse Anesthetist
APN2487SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Dreams Nurse Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2015 Accepting new patients
Ironcrest Anesthesia LLC CurrentSince Dec 10, 2025 Accepting new patients
Radiance Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Integrated Anesthesia Solutions, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Tranquil Anesthesiology LLC CurrentSince Mar 1, 2019 Accepting new patients
Nmda Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 22, 2015 Accepting new patients
Eminence Anesthesia LLC CurrentSince May 12, 2024 Accepting new patients
Overwatch Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Mar 20, 2023 Accepting new patients
Vertex Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Sweet Dreams Nurse Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Aug 21, 2009 Accepting new patients
Sweet Dreams Anesthesiology Nurses of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 29, 2016 Accepting new patients
Grand Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2019 Accepting new patients
Ambulatory Care Anesthesia, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
South Atlanta Vascular Institute, LLC PastSince Jul 27, 2019 Accepting new patients
Sentry Anesthesia Management, LLC PastSince Jan 2, 2020 Accepting new patients
Southern Anesthesia Consultants of Ga, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Eclipse Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations (25 of 78)

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

1355 Riverside Ave
Ste B
Fort Collins, CO 80524
Phone (970) 484-4620

5191 First Coast Tech Pkwy
Fl 1
Jacksonville, FL 32224
Phone (904) 593-5146

9143 Philips Hwy
Ste 500
Jacksonville, FL 32256
Phone (904) 233-0597

9726 Touchton Rd
Ste 305
Jacksonville, FL 32246
Phone (904) 686-6020

308 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 426-2565

2207 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-1200

598 Sterthaus Dr
Ormond Beach, FL 32174
Phone (386) 256-2565

814 S Washington Ave
Titusville, FL 32780
Phone (321) 567-6300

15548 W Colonial Dr
Winter Garden, FL 34787
Phone (407) 547-1654

2300 Dawson Rd
Ste 100
Albany, GA 31707
Phone (229) 888-6466

2308 Palmyra Rd
Albany, GA 31701
Phone (229) 888-2395

2400 Osler Ct
Albany, GA 31707
Phone (229) 449-1676

2405 Osler Ct
Ste 100
Albany, GA 31707
Phone (229) 317-2346

414 5th Ave
Albany, GA 31701
Phone (229) 432-9515

531 7th Ave
Albany, GA 31701
Phone (229) 883-3535

619 Pointe North Blvd
Albany, GA 31721
Phone (229) 883-4707

4080 McGinnis Ferry Rd
Ste 102
Alpharetta, GA 30005
Phone (770) 316-6158

3320 Old Jefferson Rd
Ste 100
Athens, GA 30607
Phone (706) 353-3600

1718 Peachtree St NW
Ste 360
Atlanta, GA 30309
Phone (678) 995-5068

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

1303 Dantignac St
Ste 2500
Augusta, GA 30901
Phone (706) 722-6900

1111 Glynco Pkwy
Ste 300
Brunswick, GA 31525
Phone (912) 262-6552

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

3215 Shrine Rd
Ste 8
Brunswick, GA 31520
Phone (912) 264-9024

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18188/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIJACD

Organizations & group practices 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1174512602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2564",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312032565",
            "telephone_number": "478-746-5644",
            "fax_number": "478-745-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HOSPITAL DRIVE",
            "address_2": "SUITE 410",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312178014",
            "telephone_number": "478-746-5644",
            "fax_number": "478-745-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUDELO",
        "first_name": "WILLIAM",
        "middle_name": "ENRIQUE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "APN2487",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11042815",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN092922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.