Individual provider Active NPI

Lindsey Dodson, CRNA

  • Certified Registered Nurse Anesthetist
  • Marietta, GA
National Provider Identifier
1245577816
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-138374 Issued in AL
Practice address
1960 Fields Pond Dr
Marietta, GA 30068-1566
Phone
(678) 557-5024
NPI assigned
Jan 15, 2013
Last updated
Dec 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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 1-138374 AL Primary

Addresses

Primary practice location

1960 Fields Pond Dr
Marietta, GA 30068-1566

Mailing address

1960 Fields Pond Dr
Marietta, GA 30068-1566
Phone (678) 557-5024

Other names 1

  • Lindsey Shubert Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130411000371 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941446280 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Health Anesthesia Billing Services LLCGroup PAC ID 1153659123, 160 clinicians

Practice addresses (Care Compare)

2451 Fillingim St
Mobile, AL 36617-2238
Phone (251) 471-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-138374ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Mitchell Cancer Institute CurrentSince Feb 14, 2013 Accepting new patients
University of South Alabama Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2016 Accepting new patients
University of South Alabama Nurse Anesthetist, Certified Registered CurrentSince Feb 14, 2013 Accepting new patients
Mobile Infirmary Association CurrentSince Jan 25, 2022 Accepting new patients
USA Health Anesthesia Billing Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2019 Accepting new patients
Mobile Infirmary Association CurrentSince Jan 25, 2022 Accepting new patients
University of South Alabama Current Accepting new patients

Locations

7101 US Highway 90
Daphne, AL 36526
Phone (251) 625-8400

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1245577816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 FIELDS POND DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300681566",
            "telephone_number": "678-557-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 FIELDS POND DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300681566",
            "telephone_number": "678-557-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON",
        "first_name": "LINDSEY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-138374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "SHUBERT",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.