Individual provider Active NPI

John Thomas Brown III, CRNA

  • Certified Registered Nurse Anesthetist
  • Syracuse, NY
National Provider Identifier
1265833867
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
679748-1 Issued in NY
Practice address
4900 Broad Rd
Syracuse, NY 13215-2265
Phone
(315) 492-5011
NPI assigned
Sep 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 679748-1 NY Primary
Certified Registered Nurse Anesthetist 367500000X 294429 NC

Addresses

Primary practice location

4900 Broad Rd
Syracuse, NY 13215-2265

Mailing address

3513 Mossy Oaks Villas Cir
Pensacola, FL 32514-4770
Phone (205) 218-1218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, FL, GA, WA, IL5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20180409000533 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345564605 Reassigns benefits to 1 organization
I20190408002053 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345564605 Reassigns benefits to 1 organization
I20221121000360 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345564605 Reassigns benefits to 3 organizations
I20250424002154 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345564605 Reassigns benefits to 1 organization
I20251119001028 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345564605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G and G Anesthesia LLCGroup PAC ID 4981912607, 92 clinicians

Practice addresses (Care Compare)

3333 W Deyoung St
Suite 62959
Marion, IL 62959-5884
Phone (618) 998-7000

Hospital & facility affiliations

  • Heartland Regional Medical Center Hospital, Marion, IL, CCN 140184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
679748-1NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Center CurrentSince Mar 19, 2018 Accepting new patients
Southwest Medical Center CurrentSince Mar 19, 2018 Accepting new patients
Sleep Ezzy CurrentSince Aug 1, 2024 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2022 Accepting new patients
Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 24, 2025 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC CurrentSince Mar 18, 2019 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC CurrentSince Mar 18, 2019 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Sep 1, 2022 Accepting new patients
Southwest Medical Center Current Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Laser and Outpatient Surgery Center LLC Past Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

1255 Friendship Rd
Ste 140
Braselton, GA 30517

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

455 Philip Blvd
Ste 138
Lawrenceville, GA 30046

892 Legacy Park Dr
Lawrenceville, GA 30043

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

150 N Park Trl
#A
Stockbridge, GA 30281
Phone (770) 507-0909

315 W 15th St
Liberal, KS 67901
Phone (620) 624-1651

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

Organizations & group practices 12

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.

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": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1265833867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 MOSSY OAKS VILLAS CIR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325144770",
            "telephone_number": "205-218-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BROAD RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152265",
            "telephone_number": "315-492-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "679748-1",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "294429",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.