Active NPI
Louis Semrad Jr., CRNA
- Certified Registered Nurse Anesthetist
- Madison, GA
National Provider Identifier
1194785543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN148996
- Practice address
- 1706 Four Lakes Dr
Madison, GA 30650-4266 - Phone
- (706) 342-3763
- Fax
- (706) 342-1986
- NPI assigned
- Mar 27, 2006
- Last updated
- Jan 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN148996 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | RN148996 | GA | Primary |
Addresses
Primary practice location
1706 Four Lakes Dr
Madison, GA 30650-4266
Mailing address
1706 Four Lakes Dr
Madison, GA 30650-4266
Phone (706) 342-3763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN148996 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center Anesthesiology of Athens | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Athens, GA
- NPI 1003863291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294358400000",
"number": "1194785543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 FOUR LAKES DR",
"city": "MADISON",
"state": "GA",
"postal_code": "306504266",
"telephone_number": "706-342-3763",
"fax_number": "706-342-1986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 FOUR LAKES DR",
"city": "MADISON",
"state": "GA",
"postal_code": "306504266",
"telephone_number": "706-342-3763",
"fax_number": "706-342-1986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEMRAD",
"first_name": "LOUIS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2011-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN148996",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN148996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.