William Enrique Agudelo, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Macon, GA
NPI 1174512602 · NPPES record last updated Apr 23, 2026
Key facts
- NPI
- 1174512602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN092922 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grand Anesthesia LLC
Vertex Anesthesia Associates LLC
Overwatch Anesthesia
Integrated Anesthesia Solutions LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in GA, FL, NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11042815 | FL | MD | Certified Registered Nurse Anesthetist |
| APN2487 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nmda Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Vertex Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Eminence Anesthesia LLC | Current |
Accepting new patients | |
| Integrated Anesthesia Solutions, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Ironcrest Anesthesia LLC | Current |
Accepting new patients | |
| Tranquil Anesthesiology LLC | Current |
Accepting new patients | |
| Overwatch Anesthesia | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Sweet Dreams Anesthesiology Nurses of Georgia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Radiance Anesthesia | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Sweet Dreams Nurse Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Sweet Dreams Nurse Anesthesia of Georgia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Grand Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Southern Anesthesia Consultants of Ga, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Ambulatory Care Anesthesia, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Sentry Anesthesia Management, LLC | Past |
Accepting new patients | |
| Eclipse Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| South Atlanta Vascular Institute, LLC | 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
9726 Touchton Rd
Ste 305
Jacksonville, FL 32246
Phone (904) 686-6020
9143 Philips Hwy
Ste 500
Jacksonville, FL 32256
Phone (904) 233-0597
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
531 7th Ave
Albany, GA 31701
Phone (229) 883-3535
619 Pointe North Blvd
Albany, GA 31721
Phone (229) 883-4707
2405 Osler Ct
Ste 100
Albany, GA 31707
Phone (229) 317-2346
2400 Osler Ct
Albany, GA 31707
Phone (229) 449-1676
2300 Dawson Rd
Ste 100
Albany, GA 31707
Phone (229) 888-6466
2308 Palmyra Rd
Albany, GA 31701
Phone (229) 888-2395
414 5th Ave
Albany, GA 31701
Phone (229) 432-9515
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 (770) 270-5229
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
3221 Glynn Ave
Unit 100
Brunswick, GA 31520
Phone (912) 466-9111
1111 Glynco Pkwy
Ste 300
Brunswick, GA 31525
Phone (912) 262-6552
3215 Shrine Rd
Ste 8
Brunswick, GA 31520
Phone (912) 264-9024
Interoperability endpoints
- https://api.platform.athenahealth.com/18188/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/BIJACD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APN2487 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN11042815 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | RN092922 | GA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN1387 | Medicaid | SC |
Other providers in Macon, GA
- Agape Medical Transport Inc
- Agape Medical Transport Inc
- Chibuzo Franklin Agbakwuru Onyike
- Arvind Kumar Aggarwal
- Korie L Agudelo
- Ikechukwu Chukwudi Agulonu
- Omar Faruk Ahmad
- Ali Ahmadi
- Aftab Ahmed
- Saghir Ahmed
All providers in Macon, GA · Certified Registered Nurse Anesthetist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.