Kevin N Roark, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN160869 Issued in GA

Practice address

777 Hemlock St
Macon, GA 31201-2102

Phone

(478) 633-2129

NPI assigned

Feb 7, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Mercer University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Consultants of AthensGroup PAC ID 2567459902, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary'S Hospital Hospital, Athens, GA, CCN 110006

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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 and National Provider Directory roles.

• Anesthesia Consultants of Athens

  • Anesthesiology Physician
  • Athens, GA
  • NPI 1427005636

  GA

  Medicare reassignment Care Compare group NPD
• Gastroenterology Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Gainesville, GA
  • NPI 1942563242

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• JNC Anesthesia, LLC

  • Anesthesiology Physician
  • Athens, GA
  • NPI 1316373582

  GA

  Medicare reassignment NPD
• Lake Lanier Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Gainesville, GA
  • NPI 1003443722

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Nmda Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1306123336

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Oconee River Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Watkinsville, GA
  • NPI 1992325641

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sentry Anesthesia Management, LLC

  • Anesthesiology Physician
  • Newnan, GA
  • NPI 1134544794

  GA

  Medicare reassignment NPD
• SG Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Lawrenceville, GA
  • NPI 1053750646

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sweet Dreams Anesthesiology Nurses of Georgia LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1669737409

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sweet Dreams Nurse Anesthesia, Inc.

  • Certified Registered Nurse Anesthetist
  • Alpharetta, GA
  • NPI 1649463365

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Synergy Anesthesiology Inc

  • Certified Registered Nurse Anesthetist
  • Alpharetta, GA
  • NPI 1003040502

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Mary'S Hospital, Inc.

  • General Acute Care Hospital
  • Athens, GA
  • NPI 1871556621

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1194097113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 HEMLOCK ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012102",
            "telephone_number": "478-633-2129"
        },
        {
            "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": "478-633-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROARK",
        "first_name": "KEVIN",
        "middle_name": "N",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN160869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSE NUMBER",
            "identifier": "RN160869",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael H. Rivner, MD
• Chelsea Rizkalla, NP-C
• Ahraz Rizvi, MD
• Syed W. Rizvi, M.D.
• Veronica M Roach
• Alison M Robbins, NP-C
• Gerri A Robbins, PH.D., LMFT
• Kasey Robbins, NP
• Lori Jean Robbins
• Bradley C Roberson, D.M.D.

• All providers in Macon, GA
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.