Active NPI
Roxann Latoya Shaw, CRNA
- Certified Registered Nurse Anesthetist
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN176302
- Practice address
- 1000 Medical Center Blvd
Lawrenceville, GA 30046-7694 - Phone
- (678) 312-1000
- Fax
- (678) 312-3282
- NPI assigned
- Jun 29, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN 9254117 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | RN176302 | GA | Primary |
Addresses
Primary practice location
1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Mailing address
1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, GA
Enrollment records 2
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)
1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000
Hospital & facility affiliations
- Northside Hospital Duluth
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 9254117 | FL | MD | Certified Registered Nurse Anesthetist |
| RN176302 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dpi of Georgia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southern Regional Anesthesiology Consultants PLLC | Current | Accepting new patients | |
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| Johnson Regional Medical Center | Current | Accepting new patients | |
| North Atlanta Anesthesia Professionals, LLC | Current | Accepting new patients | |
| Johnson Regional Medical Center | Current | Accepting new patients | |
| CSP Anesthesia LLC | Current | Accepting new patients | |
| Ascent Home Health and Hospice Inc. | Past | Accepting new patients | |
| Eastpointe Medical Clinic Inc | Past | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Past | Accepting new patients |
Locations
1100 E Poplar St
Ste B
Clarksville, AR 72830
Phone (479) 754-5454
500 S University Ave
Ste 500
Little Rock, AR 72205
Phone (501) 320-1101
2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680
4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076
Phone (704) 684-7609
5505 Roswell Rd
Ste 350B
Sandy Springs, GA 30342
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
403 Permian Way
Ste D
Villa Rica, GA 30180
Phone (470) 827-3648
Organizations & group practices 11
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
- Atlanta, GA
- NPI 1982349296
-
- Anesthesiology Physician
- Canton, GA
- NPI 1568946812
-
- Anesthesiology Physician
- Roswell, GA
- NPI 1407323199
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
-
- Anesthesiology Physician
- Clarksville, AR
- NPI 1396794525
-
- Anesthesiology Physician
- Little Rock, AR
- NPI 1902231673
-
- Community Health Clinic/Center
- Poteau, OK
- NPI 1558733782
-
- Land Ambulance
- Clarksville, AR
- NPI 1275753881
-
- Community Based Hospice Care Agency
- Shawnee, OK
- NPI 1114705894
-
- Anesthesiology Physician
- Jonesboro, AR
- NPI 1992036032
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1265660252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MEDICAL CENTER BLVD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300467694",
"telephone_number": "678-312-1000",
"fax_number": "678-312-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MEDICAL CENTER BLVD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300467694",
"telephone_number": "678-312-1000",
"fax_number": "678-312-3282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "ROXANN",
"middle_name": "LATOYA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-29",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "RN 9254117",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN176302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.