Individual provider Active NPI

Amy Marie Smith, CRNA

  • Certified Registered Nurse Anesthetist
  • Gainesville, GA
National Provider Identifier
1235466541
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN173565 Issued in GA
Practice address
743 Spring St NE
Gainesville, GA 30501-3715
Phone
(770) 532-7179
Fax
(770) 534-1312
NPI assigned
Nov 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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 RN173565 GA Primary

Addresses

Primary practice location

743 Spring St NE
Gainesville, GA 30501-3715

Mailing address

PO Box 1076
Gainesville, GA 30503-1076
Phone (770) 532-7179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100415000018 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729115266 Reassigns benefits to 10 organizations

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
Sentry Anesthesia Management, LLCGroup PAC ID 9436372323, 170 clinicians

Practice addresses (Care Compare)

6300 Hospital Pkwy
Suite 375
Johns Creek, GA 30097-2461
Phone (770) 771-5260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN173565GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Dreams Nurse Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 14, 2016 Accepting new patients
Synergy Anesthesiology Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 25, 2014 Accepting new patients
Nmda Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2012 Accepting new patients
RG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 22, 2019 Accepting new patients
Tranquil Anesthesiology LLC CurrentSince Dec 12, 2018 Accepting new patients
Sweet Dreams Nurse Anesthesiology LLC Nurse Anesthetist, Certified Registered CurrentSince May 24, 2013 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince May 27, 2019 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Aug 1, 2019 Accepting new patients
Sweet Dreams Anesthesiology Nurses of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 10, 2012 Accepting new patients

Locations (25 of 30)

1950 SW 18th Ct
Ocala, FL 34471
Phone (352) 789-6575

619 Pointe North Blvd
Albany, GA 31721
Phone (229) 883-4707

2300 Dawson Rd
Ste 100
Albany, GA 31707
Phone (229) 888-6466

4080 McGinnis Ferry Rd
Ste 102
Alpharetta, GA 30005
Phone (770) 316-6158

3400 Old Milton Pkwy
Alpharetta, GA 30005
Phone (678) 792-0910

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

1500 Oglethorpe Ave
Ste 500B
Athens, GA 30606
Phone (706) 548-5833

303 Parkway Dr NE
Atlanta, GA 30312
Phone (404) 265-4000

1800 Peachtree St NW
Ste 775
Atlanta, GA 30309

3200 Downwood Cir NW
Ste 240
Atlanta, GA 30327
Phone (404) 355-7000

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

3243 Glynn Ave
Brunswick, GA 31520
Phone (912) 264-9029

158 Clinic Ave
Carrollton, GA 30117
Phone (770) 834-1008

2616 Warm Springs Rd
Ste B
Columbus, GA 31904
Phone (706) 243-0016

4167 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-1234

1233 Highway 54 W
Ste 205
Fayetteville, GA 30214
Phone 4043517654160

601 Broad St SE
Ste B
Gainesville, GA 30501
Phone (678) 989-1515

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

6300 Hospital Pkwy
Ste 375
Johns Creek, GA 30097
Phone (770) 771-5260

3231 Highway 34 E
Ste C
Newnan, GA 30265
Phone (770) 251-8940

1755 Highway 34 E
Newnan, GA 30265
Phone (770) 254-6040

11 John Maddox Dr NW
Rome, GA 30165
Phone (406) 295-3992

5673 Peachtree Dunwoody Rd
Ste 800
Sandy Springs, GA 30342
Phone (404) 255-5595

4441 Atlanta Rd SE
Smyrna, GA 30080
Phone 7707021806 ext. 210

1035 Southcrest Dr
Ste 250
Stockbridge, GA 30281
Phone (770) 996-9945

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1235466541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1076",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305031076",
            "telephone_number": "770-532-7179",
            "fax_number": "770-534-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 SPRING ST NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013715",
            "telephone_number": "770-532-7179",
            "fax_number": "770-534-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN173565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.