Individual provider Active NPI

Elisabeth Lynn Dempsey, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Calhoun, GA
National Provider Identifier
1326201674
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN143389 Issued in GA
Practice address
1035 Red Bud Rd NE
Calhoun, GA 30701-6008
Phone
(706) 602-9995
Fax
(706) 624-0271
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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 RN143389 GA Primary

Addresses

Primary practice location

1035 Red Bud Rd NE
Calhoun, GA 30701-6008

Mailing address

PO Box 128
189 Professional Court Suite 106
Calhoun, GA 30703-0128
Phone (706) 602-9995

Other identifiers 4

IdentifierTypeStateIssuer
300029150AOtherGAMEDICAID GRP NUMBER
780016937AMedicaidGA
CM5659OtherGARAILROAD GRP NUMBER
GRP332OtherGAMEDICARE GRP NUMBER

Other names 1

  • Mrs. Elisabeth Lynn Dempsey Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150204002088 AK Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426118720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Consultants of Fairbanks LLCGroup PAC ID 9234566340, 9 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Consultants of Fairbanks LLC CurrentSince Apr 1, 2020 Accepting new patients
Calhoun Anesthesia P C Past Accepting new patients

Locations

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1326201674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "address_2": "189 PROFESSIONAL COURT SUITE 106",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307030128",
            "telephone_number": "706-602-9995",
            "fax_number": "706-624-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 RED BUD RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307016008",
            "telephone_number": "706-602-9995",
            "fax_number": "706-624-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMPSEY",
        "first_name": "ELISABETH",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN143389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GRP NUMBER",
            "identifier": "300029150A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "780016937A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GRP NUMBER",
            "identifier": "CM5659",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP NUMBER",
            "identifier": "GRP332",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "DEMPSEY",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "C.R.N.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Calhoun, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.