Individual provider Active NPI

Todd Horsley, CRNA

  • Certified Registered Nurse Anesthetist
  • Athens, GA
National Provider Identifier
1194757682
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN106606 Issued in GA
Practice address
1199 Prince Ave
Athens, GA 30606-2797
Phone
(706) 543-3449
Fax
(706) 543-5744
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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 RN106606 GA Primary

Addresses

Primary practice location

1199 Prince Ave
Athens, GA 30606-2797

Mailing address

PO Box 7337
Athens, GA 30604-7337
Phone (706) 543-3449

Other identifiers 1

IdentifierTypeStateIssuer
000821367AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100504000722 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860520392 Reassigns benefits to 6 organizations
I20190912002910 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860520392
I20210216002623 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860520392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gi Anesthesia of Georgia LLCGroup PAC ID 0446516769, 117 clinicians

Practice addresses (Care Compare)

340 N Milledge Ave
Suite a
Athens, GA 30601-3806
Phone (706) 548-0008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN106606GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Ambulatory Anesthesia LLC CurrentSince Oct 1, 2022 Accepting new patients
Elbert Memorial Hospital CurrentSince May 3, 2018 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2022 Accepting new patients
JNC Anesthesia, LLC CurrentSince Jun 12, 2018 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 18, 2017 Accepting new patients
Rosebud Indian Health Service CurrentSince Jan 10, 2021 Accepting new patients
Rosebud Indian Health Service CurrentSince Jan 10, 2021 Accepting new patients
Northeast Georgia Anesthesiology LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2018 Accepting new patients
Elbert Memorial Hospital CurrentSince May 3, 2018 Accepting new patients
Carlton M Guthrie PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

3320 Old Jefferson Rd
Ste 400
Athens, GA 30607
Phone (706) 400-4262

195 King Ave
Athens, GA 30606
Phone (706) 543-6261

340 N Milledge Ave
Ste A
Athens, GA 30601
Phone (706) 548-0008

70 Medical Center Dr
Commerce, GA 30529
Phone (706) 335-1000

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

301 Philip Blvd
Ste B
Lawrenceville, GA 30046
Phone (770) 682-7220

34 Upper Riverdale Rd SE
Ste 201B
Riverdale, GA 30274
Phone (678) 904-0094

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

1090 Experiment Station Rd
Unit 529
Watkinsville, GA 30677
Phone (706) 621-4108

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1194757682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7337",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306047337",
            "telephone_number": "706-543-3449",
            "fax_number": "706-543-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062797",
            "telephone_number": "706-543-3449",
            "fax_number": "706-543-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSLEY",
        "first_name": "TODD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN106606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000821367A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.