Active NPI
James William Eden, CRNA
- Certified Registered Nurse Anesthetist
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN303983
- Practice address
- 745 Poplar Rd
Newnan, GA 30265-1618 - Phone
- (770) 400-1000
- NPI assigned
- Feb 4, 2007
- Last updated
- Aug 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1648922 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 1648922 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | RN303983 | GA | Primary |
| Registered Nurse | 163W00000X | RN303983 | GA |
Addresses
Primary practice location
745 Poplar Rd
Newnan, GA 30265-1618
Mailing address
116 Twelve Parks TRL
Sharpsburg, GA 30277-3671
Phone (772) 349-2562
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3021611 00 | Medicaid | FL | |
| G2240A | Other | FL | FLORIDA BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (800) 242-1131
745 Poplar Rd
Newnan, GA 30265-1618
Phone (404) 351-1745
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN303983 | GA | MD | Registered Nurse |
| 1648922 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treasure Coast Anesthesia Group PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Piedmont Anesthesia Associates, L.L.C | Current | Accepting new patients | |
| Piedmont Anesthesia LLC | Current | Accepting new patients | |
| Martin County Anesthesia Group PL | Past | Accepting new patients |
Locations
10000 SW Innovation Way
Port St Lucie, FL 34987
Phone (772) 288-5853
10080 SW Innovation Way
Ste 101
Port St Lucie, FL 34987
Phone (561) 358-2445
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300
1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Stockbridge, GA
- NPI 1700474244
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1407856594
-
- Anesthesiology Physician
- Stuart, FL
- NPI 1013350875
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Stuart, FL
- NPI 1487606075
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1235277799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 TWELVE PARKS TRL",
"city": "SHARPSBURG",
"state": "GA",
"postal_code": "302773671",
"telephone_number": "772-349-2562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 POPLAR RD",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302651618",
"telephone_number": "770-400-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDEN",
"first_name": "JAMES",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-04",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "1648922",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "1648922",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN303983",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN303983",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3021611 00",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BCBS",
"identifier": "G2240A",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.