Individual provider Active NPI

Michael D McCray, CRNA

  • Certified Registered Nurse Anesthetist
  • Douglasville, GA
National Provider Identifier
1245744176
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN219328 Issued in GA
Practice address
8954 Hospital Dr
Douglasville, GA 30134
Phone
(770) 794-0477
Fax
(770) 794-3108
NPI assigned
Nov 30, 2017
Last updated
Aug 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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 RN219328 GA Primary

Addresses

Primary practice location

8954 Hospital Dr
Douglasville, GA 30134

Mailing address

531 Roselane St NW Ste 830
Marietta, GA 30060-6979
Phone (770) 794-0477

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180707000039 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597011486 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcare Anesthesia Services LLCGroup PAC ID 0345504494, 3 clinicians

Practice addresses (Care Compare)

3825 Medical Park Dr
Suite 300
Austell, GA 30106-6831
Phone (844) 469-4936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN219328GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Ezzy CurrentSince Jul 10, 2018 Accepting new patients
Xenon Anesthesia of Georgia LLC CurrentSince Sep 8, 2018 Accepting new patients
Anesthesia Services of North Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 10, 2021 Accepting new patients
Dpi of Georgia, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2023 Accepting new patients
Premier Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2018 Accepting new patients
Southcare Anesthesia Services, LLC CurrentSince Sep 1, 2018 Accepting new patients
Georgia Interventional Pain - D LLC Past Accepting new patients
Georgia Interventional Pain - H, LLC PastSince Apr 6, 2021 Accepting new patients

Locations

3825 Medical Park Dr
Ste 300
Austell, GA 30106
Phone (770) 941-4810

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

484 Irvin Ct
Ste 130
Decatur, GA 30030

3400 McClure Bridge Rd
Ste A102
Duluth, GA 30096
Phone (917) 621-6854

625 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 532-0292

455 Philip Blvd
Ste 138
Lawrenceville, GA 30046

892 Legacy Park Dr
Lawrenceville, GA 30043

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

1357 Hembree Rd
Ste 230
Roswell, GA 30076
Phone (770) 740-9664

300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076
Phone (704) 684-7609

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

Organizations & group practices 9

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": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1245744176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 ROSELANE ST NW STE 830",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606979",
            "telephone_number": "770-794-0477",
            "fax_number": "770-794-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8954 HOSPITAL DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30134",
            "telephone_number": "770-794-0477",
            "fax_number": "770-794-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAY",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-30",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN219328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.