Kerry H Metcalf, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R142522 Issued in GA

Practice address

541 Historic Hwy 441 North
Demorest, GA 30535

Phone

(706) 839-6205

Fax

(706) 754-9668

NPI assigned

Jul 20, 2006

Last updated

Oct 11, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

University of Kansas School of Med (KC/Wich/Sal), 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Lanier Anesthesia Associates LLCGroup PAC ID 4082061635, 7 clinicians

Ambulatory Surgery Anesthesia LLCGroup PAC ID 8426138256, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Ambulatory Surgery Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Lawrenceville, GA
  • NPI 1336328293

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Habersham Anesthesia Associates

  • Certified Registered Nurse Anesthetist
  • Demorest, GA
  • NPI 1134149420

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official
• Lake Lanier Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Gainesville, GA
  • NPI 1003443722

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Ambulatory Anesthesia of North Georgia, LLC

  • Anesthesiology Physician
  • Gainesville, GA
  • NPI 1497870562
  Medicare reassignment NPD
• Anesthesia Associates of Gainesville, LLC

  • Anesthesiology Physician
  • Gainesville, GA
  • NPI 1457456485
  Medicare reassignment NPD
• Gastroenterology Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Gainesville, GA
  • NPI 1942563242

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Braselton Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Buford, GA
  • NPI 1912265653
  NPD (past)
• Gainesville Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Gainesville, GA
  • NPI 1184714214
  NPD (past)
• Northeast Georgia Physicians Group Inc

  • Family Medicine Physician
  • Gainesville, GA
  • NPI 1891745212
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286755200000",
    "number": "1275553786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "TURNERVILLE",
            "state": "GA",
            "postal_code": "305800369",
            "telephone_number": "706-839-6205",
            "fax_number": "706-754-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 HISTORIC HWY 441 NORTH",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "30535",
            "telephone_number": "706-839-6205",
            "fax_number": "706-754-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METCALF",
        "first_name": "KERRY",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "R142522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00819684A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000819684B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Dean McKinney, ED.D, LAT, ATC
• William Starr McLean, D.O.
• Medlink Georgia Inc (MedLink Pharmacy - Habersham)
• Medlink Georgia Inc
• Melanie Sims MD LLC
• Madison Miller, DPT
• Maxwell S Miller
• Lauren Mitchell
• Jodi A Mosher, LCSW
• Mountain Internal Medicine

• Certified Registered Nurse Anesthetist in Demorest, GA
• Providers in Demorest, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2010; 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.