Individual provider Active NPI

Dusty Lynn Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • Blairsville, GA
National Provider Identifier
1265494785
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN275163 Issued in GA
Practice address
35 Hospital Rd
Blairsville, GA 30512-3139
Phone
(610) 453-1548
NPI assigned
Apr 3, 2006
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN275163 GA Primary
Certified Registered Nurse Anesthetist 367500000X RN514136L PA
Certified Registered Nurse Anesthetist 367500000X 282190 NC

Addresses

Primary practice location

35 Hospital Rd
Blairsville, GA 30512-3139

Mailing address

643 Ray Lewis Rd
Blairsville, GA 30512-1439
Phone (706) 745-9068

Other practice location 1

555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-5511

Other identifiers 9

IdentifierTypeStateIssuer
2689279000OtherPAINDEPENDENCE BLUE CROSS
P00298903OtherPARR MEDICARE
104122OtherPAGEISINGER
50058155OtherPACAPITAL BLUE CROSS
1278934OtherPAAETNA-HMO
001833846OtherPAHIGHMARK
20053633OtherPAMERCY
50058155OtherPAKEYSTONE HEALTH PLAN CENTRAL
7598828OtherPAAETNA-NON HMO

Other names 1

  • Miss Dusty Devine Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA, TN, MN, AK5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20160308002616 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486663994 Reassigns benefits to 1 organization
I20180807000196 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486663994 Reassigns benefits to 8 organizations
I20210830000410 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486663994 Reassigns benefits to 1 organization
I20240718001234 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486663994
I20260310001838 AK Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486663994 Reassigns benefits to 1 organization

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
Anesthesia Consultants of Fairbanks LLCGroup PAC ID 9234566340, 9 clinicians
Hidden Valley Medical Center IncGroup PAC ID 5799768248, 18 clinicians
CHS Anesthesia Services Group IncGroup PAC ID 5799007324, 742 clinicians

Practice addresses (Care Compare)

2310 Peger Rd
Fairbanks, AK 99709-5305
Phone (469) 437-3564

2855 Old Hwy 5
Blue Ridge, GA 30513-6248
Phone (706) 258-4178

8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.06 of 100Reported as group
Quality
64.36
Promoting interoperability
81
Improvement activities
40
Cost
75.01

Merit-based Incentive Payment System (MIPS)

Final score
86.56 of 100Reported as group
Quality
74.25
Promoting interoperability
100
Improvement activities
40
Cost
76.16

Merit-based Incentive Payment System (MIPS)

Final score
90.59 of 100Reported as group
Quality
88.06
Promoting interoperability
100
Improvement activities
40
Cost
80.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2968MNMDMental Health Counselor
5305NCMDOccupational Therapy Assistant
RN275163GAMDCertified Registered Nurse Anesthetist
282190NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Gynecology PC CurrentSince Sep 1, 2022 Accepting new patients
Hidden Valley Medical Center Inc CurrentSince Jun 10, 2024 Accepting new patients
Advanced Urology Institute of Georgia, LLC CurrentSince Sep 1, 2022 Accepting new patients
Advanced Gynecology PC CurrentSince Sep 1, 2022 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince May 4, 2020 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Advanced Urology Anesthesia, LLC CurrentSince Sep 1, 2022 Accepting new patients
Anesthesia Consultants of Fairbanks LLC CurrentSince Feb 9, 2026 Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Sep 1, 2025 Accepting new patients
Anesthesia Services of North Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince May 17, 2022 Accepting new patients
Union County Hospital Authority Current Accepting new patients
Union County Hospital Authority CurrentSince Mar 1, 2018 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 24, 2021 Accepting new patients
Union County Hospital Authority CurrentSince Mar 1, 2018 Accepting new patients
Hidden Valley Medical Center Inc CurrentSince Jun 10, 2024 Accepting new patients
360 Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Advanced Urology Institute of Georgia, LLC CurrentSince Sep 1, 2022 Accepting new patients
Provenance Psychiatric Services LLC CurrentSince Jul 2, 2023 Accepting new patients
Wendy L Smith M.D. PC Past Accepting new patients
Lanaster General Hospital Nurse Anesthetist, Certified Registered PastSince Sep 1, 2020 Accepting new patients
Anesthesia Associates of Lancaster, LTD. Past Accepting new patients

Locations

2310 Peger Rd
Fairbanks, AK 99709
Phone (907) 458-7263

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

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

2855 Old Highway 5
Ste 101
Blue Ridge, GA 30513
Phone (866) 214-8600

2855 Old Highway 5
Ste 103
Blue Ridge, GA 30513
Phone (706) 632-2066

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

1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

1357 Oconee Connector
Watkinsville, GA 30677
Phone (248) 988-3550

5445 Avenue O
Fort Madison, IA 52627
Phone (319) 372-6530

1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622

158 Hospital Dr
Carthage, TN 37030
Phone (615) 735-1560

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1563/brand/1/csg/41/fhir/r4

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 3

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1265494785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 RAY LEWIS RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305121439",
            "telephone_number": "706-745-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 HOSPITAL RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123139",
            "telephone_number": "610-453-1548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 N Duke St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176022250",
            "country_code": "US",
            "telephone_number": "717-544-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DUSTY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN275163",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN514136L",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "282190",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2689279000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00298903",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "104122",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50058155",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-HMO",
            "identifier": "1278934",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001833846",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "20053633",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN CENTRAL",
            "identifier": "50058155",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-NON HMO",
            "identifier": "7598828",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DUSTY",
            "last_name": "DEVINE",
            "prefix": "MISS",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blairsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.