Individual provider Active NPI

Madge Evans Moon, CRNA

  • Certified Registered Nurse Anesthetist
  • Roswell, GA
National Provider Identifier
1215917976
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN1305 Issued in SC
Practice address
3000 Hospital Blvd
Roswell, GA 30076-4915
Phone
(770) 751-2623
Fax
(770) 751-2627
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN153489 GA
Certified Registered Nurse Anesthetist 367500000X APN1305 SC Primary

Addresses

Primary practice location

3000 Hospital Blvd
Roswell, GA 30076-4915

Mailing address

PO Box 105048
Atlanta, GA 30348-5048
Phone (770) 751-2623

Other practice location 1

701 Grove Rd
Greenville, SC 29605-4210
Phone (864) 455-3076

Other identifiers 2

IdentifierTypeStateIssuer
000924712DMedicaidGA
000924712EMedicaidGA

Other names 1

  • Madge Elvera Evans Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VA, SC, NC, NY5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20040218000553 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305731357 Reassigns benefits to 12 organizations
I20060328000642 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305731357 Reassigns benefits to 1 organization
I20070503000690 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305731357 Reassigns benefits to 1 organization
I20070919000115 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305731357 Reassigns benefits to 1 organization
I20081209000630 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305731357

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
87.56
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003971CTMDClinical Social Worker
1305SCMDAthletic Trainer
RN153489GAMDCertified Registered Nurse Anesthetist
APN1305SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation CurrentSince Mar 23, 2024 Accepting new patients
Greater Atlanta Anesthesia, LLC CurrentSince Mar 15, 2017 Accepting new patients
Progressive Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2014 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Feb 20, 2019 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Nov 1, 2024 Accepting new patients
Amsol Anesthetists of Georgia, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Rector & Visitors of the University of Virginia Current Accepting new patients
Prisma Health-Upstate CurrentSince Jan 21, 2020 Accepting new patients
North Fulton Anesthesia Associates PC Nurse Anesthetist, Certified Registered CurrentSince Dec 19, 2013 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2024 Accepting new patients
American Anesthesiology Associates of Georgia, LLC CurrentSince Jul 1, 2013 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Dec 1, 2024 Accepting new patients
Pathology Associates of Greenville PA Current Accepting new patients
Anesthesia Consultants of Savannah, PC CurrentSince Aug 27, 2018 Accepting new patients
SG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2013 Accepting new patients
RG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 26, 2014 Accepting new patients
Rector and Visitors of the University of Virginia Nurse Anesthetist, Certified Registered CurrentSince Jan 24, 2022 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Prisma Health-Upstate Current Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Mar 23, 2024 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Dec 19, 2022 Accepting new patients
Rector & Visitors of the University of Virginia CurrentSince Jan 24, 2022 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Dec 1, 2024 Accepting new patients
Amsol Anesthetists of Georgia LLC-Hughston Surgical Center Nurse Anesthetist, Certified Registered CurrentSince Oct 5, 2016 Accepting new patients
Fayette Community Anesthesia Past Accepting new patients
The Presbyterian Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Mercy Hospital, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Surgery Center of Central Virginia Inc. Past Accepting new patients
Anesthesiology of Greenwood PA PastSince Apr 1, 1993 Accepting new patients
Memorial Health Anesthetists Past Accepting new patients
Anesthesia Care Services, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Associates of Macon LLP Past Accepting new patients

Locations (25 of 39)

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

95 Collier Rd NW
Ste 4075
Atlanta, GA 30309
Phone (404) 355-2200

1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754

80 Jesse Hill Jr Dr SE
#26019
Atlanta, GA 30303
Phone (404) 616-2219

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294

2151 Peachford Rd
Dunwoody, GA 30338
Phone (770) 313-2034

1265 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-7000

1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505

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

134 Mountainside Village Pkwy
Bldg 500
Jasper, GA 30143
Phone (706) 253-7340

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

763 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 985-1994

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

11 John Maddox Dr NW
Rome, GA 30165
Phone (406) 295-3992

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

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

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1215917976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 105048",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303485048",
            "telephone_number": "770-751-2623",
            "fax_number": "770-751-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HOSPITAL BLVD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764915",
            "telephone_number": "770-751-2623",
            "fax_number": "770-751-2627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054210",
            "country_code": "US",
            "telephone_number": "864-455-3076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "MADGE",
        "middle_name": "EVANS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN153489",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "APN1305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000924712D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000924712E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADGE",
            "last_name": "EVANS",
            "middle_name": "ELVERA",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.