Individual provider Active NPI

Gennie Lou Tucker, CRNA

  • Certified Registered Nurse Anesthetist
  • Winchester, VA
National Provider Identifier
1225206519
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024174010 Issued in VA
Practice address
1840 Amherst St
Winchester, VA 22601-2808
Phone
(540) 536-8000
NPI assigned
Feb 20, 2008
Last updated
Feb 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-061334 AL
Certified Registered Nurse Anesthetist 367500000X APN15760 TN
Certified Registered Nurse Anesthetist 367500000X RN181133 TN
Certified Registered Nurse Anesthetist 367500000X 280661 NC
Certified Registered Nurse Anesthetist 367500000X 20621 SC
Certified Registered Nurse Anesthetist 367500000X 0024174010 VA Primary

Addresses

Primary practice location

1840 Amherst St
Winchester, VA 22601-2808

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2888
Phone (540) 536-5100

Other practice location 1

701 Grove Rd
Greenville, SC 29605-4210
Phone (864) 455-7111

Other identifiers 5

IdentifierTypeStateIssuer
1523879MedicaidTN
P00944106OtherRAILROAD MEDICARE
4295481OtherTNBLUE CROSS BLUE SHIELD OF TN
003110310AMedicaidGA
PENDINGMedicaidSC

Other names 1

  • Gennie L Farragher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130219000007 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810065919 Reassigns benefits to 18 organizations
I20161130002089 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810065919 Reassigns benefits to 1 organization
I20170124001545 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810065919 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Anesthesia Associates PAGroup PAC ID 1456251057, 67 clinicians
Carolina Regional Anesthesia PLLCGroup PAC ID 5496921769, 51 clinicians

Practice addresses (Care Compare)

1520 Physicians Dr
Suite B
Wilmington, NC 28401-7356
Phone (910) 662-8300

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-061334ALMDCertified Registered Nurse Anesthetist
20621SCMDCertified Registered Nurse Anesthetist
0024174010VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Sep 26, 2017 Accepting new patients
Medical Park Hospital LLC CurrentSince Sep 22, 2020 Accepting new patients
Winchester Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Novant Health Thomasville Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 22, 2020 Accepting new patients
Pender Memorial Hospital Incorporated CurrentSince Oct 12, 2024 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
Pender Memorial Hospital Incorporated Current Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC CurrentSince Sep 22, 2020 Accepting new patients
Novant Health Mint Hill Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 22, 2020 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Coastal Carolina Sedation Associates, LLC Anesthesiology CurrentSince Apr 1, 2023 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 22, 2020 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Sep 22, 2020 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC CurrentSince Sep 22, 2020 Accepting new patients
Greenville Health System CurrentSince Jan 7, 2017 Accepting new patients
The Presbyterian Hospital CurrentSince Sep 22, 2020 Accepting new patients
Pender Memorial Hospital, Incorporated CurrentSince Oct 12, 2024 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 22, 2020 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Sep 22, 2020 Accepting new patients
Novant Health Rowan Medical Center LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 22, 2020 Accepting new patients
Prisma Health University Medical Group Anesthesiology CurrentSince Sep 26, 2017 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Current Accepting new patients
Medical Park Hospital LLC CurrentSince Sep 22, 2020 Accepting new patients
Greenville Health System Current Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Sep 22, 2020 Accepting new patients
Prisma Health-Upstate CurrentSince Jan 15, 2017 Accepting new patients
Brunswick Community Hospital, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 22, 2020 Accepting new patients
Winchester Medical Center Current Accepting new patients
Carolina Anesthesia Associates PA Anesthesiology CurrentSince Feb 1, 2023 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 22, 2020 Accepting new patients
The Presbyterian Hospital CurrentSince Sep 22, 2020 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Current Accepting new patients
Novant Health New Hanover Regional Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 6, 2024 Accepting new patients
Novant Health Ballantyne Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Winchester Medical Center Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Prisma Health-Upstate CurrentSince Jan 15, 2017 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Sep 22, 2020 Accepting new patients
Pathology Associates of Greenville PA Current Accepting new patients
Carolina Regional Anesthesia PLLC Anesthesiology CurrentSince Feb 1, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Sep 22, 2020 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Nov 6, 2024 Accepting new patients
Forsyth Memorial Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 22, 2020 Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Dekalb Anesthesia Associates, LLC Anesthesiology Past Accepting new patients
Anesthesia Solutions of Anniston Anesthesiology Past Accepting new patients
Anesthesiologists Associated PC Anesthesiology Past Accepting new patients
Strategy Anesthesia North Carolina PLLC Anesthesiology Past Accepting new patients

Locations (25 of 34)

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840

1520 Physicians Dr
Ste B
Wilmington, NC 28401
Phone (910) 662-8300

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

175 Patewood Dr
Greenville, SC 29615
Phone (864) 797-1000

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

Organizations & group practices 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1225206519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012888",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012808",
            "telephone_number": "540-536-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054210",
            "country_code": "US",
            "telephone_number": "864-455-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "GENNIE",
        "middle_name": "LOU",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-061334",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN15760",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "RN181133",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "280661",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "20621",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024174010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1523879",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00944106",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TN",
            "identifier": "4295481",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003110310A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENNIE",
            "last_name": "FARRAGHER",
            "middle_name": "L",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.