Active NPI
Gennie Lou Tucker, CRNA
- Certified Registered Nurse Anesthetist
- Winchester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024174010
- Practice address
- 1840 Amherst St
Winchester, VA 22601-2808 - Phone
- (540) 536-8000
- NPI assigned
- Feb 20, 2008
- Last updated
- Feb 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1523879 | Medicaid | TN | |
| P00944106 | Other | RAILROAD MEDICARE | |
| 4295481 | Other | TN | BLUE CROSS BLUE SHIELD OF TN |
| 003110310A | Medicaid | GA | |
| PENDING | Medicaid | SC |
Other names 1
- Gennie L Farragher
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA, SC
Enrollment records 3
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
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.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-061334 | AL | MD | Certified Registered Nurse Anesthetist |
| 20621 | SC | MD | Certified Registered Nurse Anesthetist |
| 0024174010 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Medical Park Hospital LLC | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Novant Health Thomasville Medical Center, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pender Memorial Hospital Incorporated | Current | 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 | Current | Accepting new patients | |
| Novant Health Mint Hill Medical Center, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Coastal Carolina Sedation Associates, LLC | Anesthesiology | Current | Accepting new patients |
| Presbyterian Sameday Surgery Center at Ballantyne LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Matthews Medical Center LLC | Current | Accepting new patients | |
| Presbyterian Sameday Surgery Center at Ballantyne LLC | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Pender Memorial Hospital, Incorporated | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Rowan Medical Center, LLC | Current | 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 | Current | Accepting new patients |
| Prisma Health University Medical Group | Anesthesiology | Current | Accepting new patients |
| Novant Health Clemmons Outpatient Surgery, LLC | Current | Accepting new patients | |
| Medical Park Hospital LLC | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| Novant Health Thomasville Medical Center LLC | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Brunswick Community Hospital, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Winchester Medical Center | Current | Accepting new patients | |
| Carolina Anesthesia Associates PA | Anesthesiology | Current | Accepting new patients |
| Novant Health Kernersville Outpatient Surgery LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Presbyterian Hospital | Current | 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 | Current | Accepting new patients |
| Novant Health Ballantyne Medical Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Winchester Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Novant Health Rowan Medical Center, LLC | Current | Accepting new patients | |
| Pathology Associates of Greenville PA | Current | Accepting new patients | |
| Carolina Regional Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Novant Health New Hanover Regional Medical Center LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Certified Registered Nurse Anesthetist
- Pinehurst, NC
- NPI 1891072609
Anesthesiology
-
dba Valley Intensivists
- Critical Care Medicine (Internal Medicine) Physician
- Winchester, VA
- NPI 1679711261
-
dba Novant Health Brunswick Medical Center CRNAS
- Certified Registered Nurse Anesthetist
- Bolivia, NC
- NPI 1669725198
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Wilmington, NC
- NPI 1114544996
Anesthesiology
-
dba NH Forsyth Primary Care Clinics
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
dba GHS Patewood Memorial Hospital
- General Acute Care Hospital
- Greenville, SC
- NPI 1568532513
-
dba Medical Park Professional Fee
- Specialist
- Winston Salem, NC
- NPI 1003867516
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1760190607
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Clemmons, NC
- NPI 1528521887
-
- Ambulatory Surgical Clinic/Center
- Kernersville, NC
- NPI 1750892659
-
dba Professional Services of Presbyterian Matthews
- Specialist
- Matthews, NC
- NPI 1184782419
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.