Individual provider Active NPI

James Goode, CRNA

  • Certified Registered Nurse Anesthetist
  • Laurel, MD
National Provider Identifier
1174611883
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R1800054 Issued in MD
Practice address
7300 Van Dusen Rd
Laurel, MD 20707-9463
Phone
(443) 332-4088
Fax
(410) 793-0809
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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 R1800054 MD Primary

Addresses

Primary practice location

7300 Van Dusen Rd
Laurel, MD 20707-9463

Mailing address

11517 Lady Alison CT
Waldorf, MD 20601-4627
Phone (240) 607-9061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160420000481 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577565084 Reassigns benefits to 9 organizations
I20160812001925 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577565084 Reassigns benefits to 2 organizations
I20250113000228 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577565084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Anesthesia Associates PAGroup PAC ID 1456251057, 67 clinicians
Carolina Regional Anesthesia PLLCGroup PAC ID 5496921769, 51 clinicians

Practice addresses (Care Compare)

106 Alexander Bank Dr
Suite 100
Mooresville, NC 28117-0100
Phone (704) 660-4055

1530 Boiling Springs Rd
Boiling Springs, SC 29316-5121
Phone (864) 583-6381

501 Rison St
Suite 130
Danville, VA 24541-2426
Phone (434) 791-1152

Merit-based Incentive Payment System (MIPS)

Final score
95.22 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
84.08

Merit-based Incentive Payment System (MIPS)

Final score
73.38 of 100Reported as group
Quality
77.5
Improvement activities
20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1800054MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Carolina Sedation Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
Carolina Anesthesia Associates PA Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2024 Accepting new patients
Charlotte Gastroenterology & Hepatology, PLLC CurrentSince Nov 1, 2023 Accepting new patients
Carolina Regional Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince May 3, 2025 Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Sep 1, 2017 Accepting new patients
Charlotte Gastroenterology & Hepatology, PLLC CurrentSince Nov 1, 2023 Accepting new patients
Charlotte Gastroenterology & Hepatology, PLLC CurrentSince Nov 1, 2023 Accepting new patients
Triad Sedation Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
Anesthesia Care Services, PA Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2023 Accepting new patients
Newbridge Anesthesia LLC PastSince Aug 27, 2019 Accepting new patients
Chevy Chase Anesthesia LLC Past Accepting new patients
Ambulatory Anesthesia of Pinehurst, PA Past Accepting new patients
Raleigh Sedation Associates LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Newbridge Surgery Center at Prince Frederick, LLC Past Accepting new patients

Locations

112 Kinderton Blvd
#100
Advance, NC 27006
Phone (336) 765-0155

16817 Marvin Rd
Charlotte, NC 28277
Phone (704) 275-3256

2015 Randolph Rd
Ste 101
Charlotte, NC 28207
Phone (704) 602-6544

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

15830 Ballantyne Medical Pl
Ste 175
Charlotte, NC 28277
Phone (704) 323-7633

2015 Randolph Rd
Ste 208
Charlotte, NC 28207
Phone (704) 602-6544

2730 Georgia Rd
Franklin, NC 28734
Phone (828) 349-3636

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

415 N Center St
Ste 300
Hickory, NC 28601
Phone (828) 328-3300

106 Alexander Bank Dr
Ste 100
Mooresville, NC 28117
Phone (704) 660-4055

115 Commerce Pointe Blvd
Mooresville, NC 28117
Phone (423) 343-7032

208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8215

1404 Fern Creek Dr
Statesville, NC 28625
Phone (704) 978-4025

137 Mount Calvary Rd
#A
Thomasville, NC 27360

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

101 Surgeons Dr
Myrtle Beach, SC 29579
Phone (803) 504-7194

1530 Boiling Springs Rd
Spartanburg, SC 29316
Phone (864) 583-6381

501 Rison St
Ste 130
Danville, VA 24541
Phone (434) 429-4290

Organizations & group practices 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1174611883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11517 LADY ALISON CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206014627",
            "telephone_number": "240-607-9061",
            "fax_number": "240-607-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 VAN DUSEN RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207079463",
            "telephone_number": "443-332-4088",
            "fax_number": "410-793-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE",
        "first_name": "JAMES",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R1800054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.