Individual provider Active NPI

Kaitlin G Thomas, CRNA

  • Certified Registered Nurse Anesthetist
  • Memphis, TN
National Provider Identifier
1336778554
Registry record updated Sep 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28035 Issued in TN
Practice address
1265 Union Ave
Memphis, TN 38104-3415
Phone
(901) 725-5846
NPI assigned
Apr 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 219278 TN
Certified Registered Nurse Anesthetist 367500000X 28035 TN Primary

Addresses

Primary practice location

1265 Union Ave
Memphis, TN 38104-3415

Mailing address

6060 Primacy Pkwy Ste 241
Memphis, TN 38119-5743
Phone (901) 725-5846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200902003515 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931526043 Reassigns benefits to 1 organization
I20230810004041 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931526043 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tranquil Anesthesiology LLCGroup PAC ID 0749598001, 26 clinicians
Grand Anesthesia LLCGroup PAC ID 0345579876, 29 clinicians
Alta Anesthesia Associates of Georgia, PCGroup PAC ID 8729992987, 42 clinicians

Practice addresses (Care Compare)

1111 Glynco Pkwy
Suite 300
Brunswick, GA 31525-7933
Phone (912) 324-3010

2500 Starling St
Suite 604
Brunswick, GA 31520-4271
Phone (912) 280-9977

3100 Kemble Ave
Brunswick, GA 31520-4211
Phone (880) 233-2570

Hospital & facility affiliations

  • Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219278TNMDRegistered Nurse
28035TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Dreams Anesthesiology Nurses of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 5, 2023 Accepting new patients
Vision Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 5, 2023 Accepting new patients
Medical Anesthesia Group, PA CurrentSince Aug 21, 2020 Accepting new patients
Alta Anesthesia Associates of Georgia, PC Nurse Anesthetist, Certified Registered CurrentSince Apr 4, 2024 Accepting new patients
Grand Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 19, 2023 Accepting new patients
Tranquil Anesthesiology LLC CurrentSince Sep 4, 2023 Accepting new patients
Vertex Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Sweet Dreams Nurse Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 4, 2023 Accepting new patients
Brunswick Pain Treatment Center, LLC Past Accepting new patients

Locations

2400 Osler Ct
Albany, GA 31707
Phone (229) 449-1676

1111 Glynco Pkwy
Fl 3
Brunswick, GA 31525
Phone (912) 262-6552

3100 Kemble Ave
Brunswick, GA 31520
Phone (880) 233-2570

1111 Glynco Pkwy
Brunswick, GA 31525
Phone (912) 262-6552

1111 Glynco Pkwy
Ste 300
Brunswick, GA 31525
Phone (912) 262-6552

3243 Glynn Ave
Brunswick, GA 31520
Phone (912) 264-9029

2500 Starling St
Ste 604
Brunswick, GA 31520
Phone (912) 280-9977

112 Professional Ct
Jesup, GA 31545

110 Professional Ct
Jesup, GA 31545
Phone (912) 427-6029

2000 Dan Proctor Dr
Saint Marys, GA 31558
Phone (912) 576-6160

1035 Southcrest Dr
Ste 250
Stockbridge, GA 30281
Phone (770) 996-9945

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

1905 Tebeau St
Ste B
Waycross, GA 31501
Phone (912) 280-9977

6060 E Primacy Pkwy
Ste 241
Memphis, TN 38119
Phone (901) 725-5846

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

Organizations & group practices 9

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600473600000",
    "number": "1336778554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 PRIMACY PKWY STE 241",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195743",
            "telephone_number": "901-725-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043415",
            "telephone_number": "901-725-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KAITLIN",
        "middle_name": "G",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-09-19",
        "certification_date": "2020-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "219278",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "28035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.