Sue Avery Gentry, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN055565 Issued in GA

Practice address

2400 Bellevue Rd Ste 22
Dublin, GA 31021-2889

Phone

(478) 275-4740

NPI assigned

May 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

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.

• Middle Georgia Anesthesia Associates, PC

  dba Dublin Pain Medicine Physicians

  • Pain Medicine (Anesthesiology) Physician
  • Dublin, GA
  • NPI 1427082759
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1194779363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HILLCREST PKWY STE L",
            "address_2": "PMB 214",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213581",
            "telephone_number": "478-274-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BELLEVUE RD STE 22",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212889",
            "telephone_number": "478-275-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "SUE",
        "middle_name": "AVERY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN055565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayco, Inc. (Gayco HealthCare)
• Gayco, Inc. (Gayco Healthcare)
• GBM Family Care Services LLC
• General and Thoracic Surgery of Georgia,LLC
• Genesis Treatment Center
• Arun George, M.D.
• Joyce A. George, RD LD
• Kaleb George
• Mattie Ruth George, RN
• Georgia Blood and Cancer Pharmacy LLC

• Certified Registered Nurse Anesthetist in Dublin, GA
• Providers in Dublin, 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 May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.