Individual provider Active NPI

Michelle Wolfenden Dunwody

  • Certified Registered Nurse Anesthetist
  • Macon, GA
National Provider Identifier
1184470361
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN289954 Issued in GA
Practice address
777 Hemlock St
Macon, GA 31201-2102
Phone
(478) 633-1000
NPI assigned
Apr 27, 2024
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN289954 GA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

777 Hemlock St
Macon, GA 31201-2102

Mailing address

102 Loraine Woods CT
Macon, GA 31210-5341
Phone (404) 797-8072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241017001292 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052843893 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Anesthesiology Associates of Georgia LLCGroup PAC ID 7618934779, 230 clinicians

Practice addresses (Care Compare)

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-6399

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Anesthesiology Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 28, 2025 Accepting new patients
Radiance Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jul 15, 2025 Accepting new patients
American Anesthesiology Associates of Georgia, LLC CurrentSince Sep 4, 2024 Accepting new patients
Overwatch Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jul 15, 2025 Accepting new patients
Grand Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 15, 2025 Accepting new patients

Locations

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

15 Medical Dr NE
Cartersville, GA 30121
Phone (770) 386-4347

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

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

1014 Forsyth St
Macon, GA 31201
Phone (478) 633-5800

4030 Riverside Park Blvd
Macon, GA 31210
Phone (478) 474-2200

6326 Peake Rd
Macon, GA 31210
Phone (478) 246-7474

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

888 Pine St
Macon, GA 31201
Phone (478) 751-0527

165 Vann St NE
Marietta, GA 30060
Phone (770) 422-9856

3024 N Patterson St
Valdosta, GA 31602
Phone (229) 247-4114

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1714176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1184470361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 LORAINE WOODS CT",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105341",
            "telephone_number": "404-797-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HEMLOCK ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012102",
            "telephone_number": "478-633-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNWODY",
        "first_name": "MICHELLE",
        "middle_name": "WOLFENDEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-27",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN289954",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 16, 2024; 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.