Stacy Harrison Bradfield, SRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN170998 Issued in GA

Practice address

3870 Medical Park Dr
Ste 110
Austell, GA 30106-1110

Phone

(770) 948-6824

NPI assigned

Feb 4, 2011

Last updated

Jul 14, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Stacy Harrison Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Choa Hospital Based, LLCGroup PAC ID 4688812498, 97 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Choa Hospital Based, LLC

  • Pediatrics Physician
  • Brookhaven, GA
  • NPI 1457695488
  Medicare reassignment Care Compare group NPD
• Ahs Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Smyrna, GA
  • NPI 1316214604

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• American Anesthesiology Associates of Georgia, LLC

  • Anesthesiology Physician
  • Stone Mountain, GA
  • NPI 1528068673
  Medicare reassignment NPD
• Avvc Anesthesia, LLC

  • Medical Specialty Clinic/Center
  • Lawrenceville, GA
  • NPI 1982074431
  Medicare reassignment NPD
• Buford Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Buford, GA
  • NPI 1609285386
  Medicare reassignment NPD
• Canton Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Canton, GA
  • NPI 1992122329
  Medicare reassignment NPD
• Children's Anesthesia Services, LLC

  • Pediatric Anesthesiology Physician
  • Brookhaven, GA
  • NPI 1437203098

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Greater Atlanta Anesthesia, LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1285043158
  Medicare reassignment NPD
• Mulkey Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Austell, GA
  • NPI 1417288069
  Medicare reassignment NPD
• Progressive Anesthesia LLC

  • Anesthesiology Physician
  • Fayetteville, GA
  • NPI 1215225560

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• The Emory Clinic Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1396798229
  Medicare reassignment NPD
• Avvsc Lawrenceville, LLC

  • Ambulatory Surgical Clinic/Center
  • Lawrenceville, GA
  • NPI 1427435007
  NPD

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1174829386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 PEACHTREE RD NE",
            "address_2": "STE 1500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261157",
            "telephone_number": "404-920-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 MEDICAL PARK DR",
            "address_2": "STE 110",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061110",
            "telephone_number": "770-948-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFIELD",
        "first_name": "STACY",
        "middle_name": "HARRISON",
        "credential": "SRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "R109902",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R179251",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN170998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "HARRISON",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin Tramon Bolden, D.D.S.
• Stephanie R Bonhaus, CNM
• Gerald Bortolazzo
• Bradley Bowser, PA
• Robin Ann Brackett, NP
• Keith Braswell, D.C .
• Brighter Days Homecare Agency
• Pavel Britkin, MD
• Julius Britt Jr., CST
• Brittany Carter LCSW LLC

• Certified Registered Nurse Anesthetist in Austell, GA
• Providers in Austell, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.