Individual provider Active NPI

Georgia L. Gray, CRNA, MSN

  • Certified Registered Nurse Anesthetist
  • Savannah, GA
National Provider Identifier
1225465297
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
191288 Issued in NC
Practice address
4700 Waters Ave
Savannah, GA 31404-6220
Phone
(912) 350-8000
NPI assigned
Oct 4, 2013
Last updated
Oct 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 191288 NC Primary

Addresses

Primary practice location

4700 Waters Ave
Savannah, GA 31404-6220

Mailing address

114 N Palm Dr
Winnabow, NC 28479-5668
Phone (919) 931-8914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160311000809 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830321116 Reassigns benefits to 4 organizations
I20210928003331 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830321116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians
Carolina Anesthesia Associates PAGroup PAC ID 1456251057, 67 clinicians
Carolina Regional Anesthesia PLLCGroup PAC ID 5496921769, 51 clinicians

Practice addresses (Care Compare)

1801 S 17TH St
Wilmington, NC 28401-6443
Phone (910) 763-4555

5115 Oleander Dr
Wilmington, NC 28403-7018
Phone (910) 362-1011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Sedation Associates, LLC Anesthesiology CurrentSince Aug 1, 2020 Accepting new patients
East Carolina Anesthesia Associates, PLLC Anesthesiology CurrentSince Jun 15, 2020 Accepting new patients
Carolina Anesthesia Associates PA Anesthesiology CurrentSince Aug 1, 2020 Accepting new patients
McLeod Physician Associates II Anesthesiology CurrentSince Aug 1, 2021 Accepting new patients
Carolina Regional Anesthesia PLLC Anesthesiology CurrentSince Aug 14, 2020 Accepting new patients
McLeod Physician Associates II CurrentSince Aug 1, 2021 Accepting new patients

Locations

2041 Valleygate Dr
Fayetteville, NC 28304
Phone (910) 323-5203

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

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

704 Wh Smith Blvd
Greenville, NC 27834
Phone (252) 758-8181

1801 S 17th St
Wilmington, NC 28401
Phone (910) 763-4555

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

506 E Cheves St
#202
Florence, SC 29506

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1225465297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N PALM DR",
            "city": "WINNABOW",
            "state": "NC",
            "postal_code": "284795668",
            "telephone_number": "919-931-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046220",
            "telephone_number": "912-350-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "GEORGIA",
        "middle_name": "L.",
        "credential": "CRNA, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "191288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.