Active NPI
Joann L Carson
- Certified Registered Nurse Anesthetist
- Carrollton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN130954CRNA
- Practice address
- 160 Clinic Ave
Carrollton, GA 30117-4451 - Phone
- (770) 834-1008
- Fax
- (770) 834-2531
- NPI assigned
- Jan 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN130954CRNA | GA | Primary |
Addresses
Primary practice location
160 Clinic Ave
Carrollton, GA 30117-4451
Mailing address
9488 Lakeview CT
Douglasville, GA 30135
Phone (770) 947-4210
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 374945 | Other | GA | B CROSS |
| 000716394D | Other | GA | MEDICAID X OVER |
| 000716394I | Medicaid | GA | |
| 000716394J | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051230000531 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0345137121 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN130954CRNA | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WGG Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Progressive Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Nmda Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Georgia Anesthesiologists, PC | Past | Accepting new patients | |
| Southern Crescent Anesthesiology, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| West Ga. Nurse Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Newnan Anesthesia Associates, LLC | Past | Accepting new patients | |
| Alta Anesthesia Associates of Georgia, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Calhoun Anesthesia P C | Past | Accepting new patients | |
| Southern Crescent Nurse Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Paulding Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Parkway Anesthesia Consultants, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
158 Clinic Ave
Carrollton, GA 30117
Phone (770) 834-1008
160 Clinic Ave
Carrollton, GA 30117
Phone (770) 214-2800
1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505
Organizations & group practices 12
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.
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GA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
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GA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
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- NPI 1578843280
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-
- Anesthesiology Physician
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- NPI 1275504771
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Calhoun, GA
- NPI 1629007539
-
- Anesthesiology Physician
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- NPI 1740299197
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1033300298
-
- Certified Registered Nurse Anesthetist
- Villa Rica, GA
- NPI 1194887455
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-
- Certified Registered Nurse Anesthetist
- Dallas, GA
- NPI 1023170495
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1275585879
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Warm Springs, GA
- NPI 1508818741
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Carrollton, GA
- NPI 1275722845
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336694400000",
"number": "1194795047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9488 LAKEVIEW CT",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "30135",
"telephone_number": "770-947-4210",
"fax_number": "770-830-0990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 CLINIC AVE",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301174451",
"telephone_number": "770-834-1008",
"fax_number": "770-834-2531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSON",
"first_name": "JOANN",
"middle_name": "L",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2012-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN130954CRNA",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B CROSS",
"identifier": "374945",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID X OVER",
"identifier": "000716394D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000716394I",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000716394J",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.