Active NPI
Amy Catherine Demaree Lewis, CRNA
- Certified Registered Nurse Anesthetist
- Collegedale, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- COA.11444-NA
- Practice address
- 5588 Tucker Rd
Department of Surgery
Collegedale, TN 37315-1396 - Phone
- (423) 504-5669
- Fax
- (419) 783-4416
- NPI assigned
- Mar 26, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APN0000014687 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 6372A | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | RN188003 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | COA.11444-NA | OH | Primary |
Addresses
Primary practice location
5588 Tucker Rd
Department of Surgery
Collegedale, TN 37315-1396
Mailing address
PO Box 1355
5588 Tucker Rd
Collegedale, TN 37315-1355
Phone (423) 504-5669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 291-0291
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6372A | KY | MD | Certified Registered Nurse Anesthetist |
| COA.11444-NA | OH | MD | Certified Registered Nurse Anesthetist |
| APN0000014687 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Associates Anesthesia Billing Services, LLC | Current | Accepting new patients | |
| Redmond Anesthesia and Pain Treatment, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kentucky River HBP LLC | Past | Accepting new patients | |
| Chattanooga Endoscopy ASC LLC | Past | Accepting new patients | |
| Obleness Anesthesia Billing LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800
707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050
16 John Maddox Dr NW
Rome, GA 30165
Phone (706) 234-0315
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Rome, GA
- NPI 1821350984
Nurse Anesthetist, Certified Registered
-
dba MCG Anesthesiology Financial Services
- Anesthesiology Physician
- Augusta, GA
- NPI 1801843933
-
dba Chattanooga Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Chattanooga, TN
- NPI 1447223938
-
- Diagnostic Radiology Physician
- Jackson, KY
- NPI 1174752356
-
- Anesthesiology Physician
- Athens, OH
- NPI 1346480290
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Gordon
- General Acute Care Hospital
- Calhoun, GA
- NPI 1760402424
-
dba Adventhealth Redmond
- General Acute Care Hospital
- Rome, GA
- NPI 1508810565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1235453721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1355",
"address_2": "5588 TUCKER RD",
"city": "COLLEGEDALE",
"state": "TN",
"postal_code": "373151355",
"telephone_number": "423-504-5669",
"fax_number": "423-504-5669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5588 TUCKER RD",
"address_2": "DEPARTMENT OF SURGERY",
"city": "COLLEGEDALE",
"state": "TN",
"postal_code": "373151396",
"telephone_number": "423-504-5669",
"fax_number": "419-783-4416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "AMY",
"middle_name": "CATHERINE DEMAREE",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-26",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN0000014687",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "6372A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN188003",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "COA.11444-NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collegedale, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.