Individual provider Active NPI

Gary Anthony Wood, CRNA

  • Certified Registered Nurse Anesthetist
  • Auburn, AL
National Provider Identifier
1295911220
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-086070 Issued in AL
Practice address
1975 Stephanie Court
Auburn, AL 36830
Phone
(334) 209-2808
NPI assigned
Jan 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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 1-086070 AL Primary

Addresses

Primary practice location

1975 Stephanie Court
Auburn, AL 36830

Mailing address

1975 Stephanie Court
Auburn, AL 36830
Phone (334) 209-2808

Other identifiers 4

IdentifierTypeStateIssuer
1-086070OtherALRN / CRNA
515-46368OtherALBCBS OF AL
009914117MedicaidAL
587248520AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080408000048 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618940040 Reassigns benefits to 1 organization
I20100907000821 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618940040 Reassigns benefits to 7 organizations
I20130724000007 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618940040 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of East Alabama LLCGroup PAC ID 5395768451, 50 clinicians

Practice addresses (Care Compare)

2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 749-3411

Hospital & facility affiliations

  • The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18193SCMDSpecialist
1-086070ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
WGG Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 23, 2013 Accepting new patients
St. Francis Physician Practices LLC Current Accepting new patients
Carolina Anesthesia Associates PA Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2013 Accepting new patients
St. Francis Physician Practices LLC CurrentSince Jan 1, 2016 Accepting new patients
Wilson Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2014 Accepting new patients
St Francis Physician Practices LLC CurrentSince Jan 1, 2016 Accepting new patients
Concordia Anesthesiology, Inc CurrentSince May 1, 2016 Accepting new patients
Xenon Anesthesia of Georgia LLC CurrentSince Jun 1, 2015 Accepting new patients
Carolina Regional Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2013 Accepting new patients
Bainbridge Anesthesiology, PC Nurse Anesthetist, Certified Registered CurrentSince May 7, 2010 Accepting new patients
Anesthesia Associates of Columbus PA Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2018 Accepting new patients
Vaccination Services of Alabama, LLC PastSince Oct 27, 2009 Accepting new patients
Vaxxim Inc. PastSince Nov 1, 2005 Accepting new patients
FSG Immunizations, Inc. PastSince Apr 30, 2003 Accepting new patients
Anesthesia Network Services, LLC Past Accepting new patients

Locations

6464 W Sunset Blvd
Ste 790
Los Angeles, CA 90028

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

160 Clinic Ave
Carrollton, GA 30117
Phone (770) 214-2800

2430 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 494-7700

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

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

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

101 W 27th St
Lumberton, NC 28358
Phone (910) 739-0770

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

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

101 Surgeons Dr
Myrtle Beach, SC 29579
Phone (803) 504-7194

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

Organizations & group practices 17

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.

View all 17

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": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1295911220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 STEPHANIE COURT",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "36830",
            "telephone_number": "334-209-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 STEPHANIE COURT",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "36830",
            "telephone_number": "334-209-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "GARY",
        "middle_name": "ANTHONY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-086070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN / CRNA",
            "identifier": "1-086070",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "515-46368",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009914117",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "587248520A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.