Shannon Woodall Betsill, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN111983 Issued in GA

Practice address

2500 Hospital Blvd
Suite 480
Roswell, GA 30076

Phone

(678) 762-0676

Fax

(678) 762-7980

NPI assigned

Mar 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shannon Betsill-Root Former name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 30)

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.

• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  CO, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia of the Rocky Mountains, LLC

  • Anesthesiology Physician
  • Colorado Springs, CO
  • NPI 1245547850

  CO

  Medicare reassignment NPD
• CPR Anesthesia, Inc

  • Anesthesiology Physician
  • Aurora, CO
  • NPI 1326436353

  CO, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Park Meadows Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Lone Tree, CO
  • NPI 1982914370

  CO, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Consultants of Savannah, PC

  • Anesthesiology Physician
  • Savannah, GA
  • NPI 1679774343
  NPD
• Anesthesia Services of Atlanta LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1124657465
  NPD
• Concordia Anesthesiology, Inc

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1619296464
  NPD
• Greater Atlanta Anesthesia, LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1285043158
  NPD
• JC Anesthesia LLC

  • Anesthesiology Physician
  • Johns Creek, GA
  • NPI 1821501206
  NPD
• Progressive Anesthesia LLC

  • Anesthesiology Physician
  • Fayetteville, GA
  • NPI 1215225560

  Nurse Anesthetist, Certified Registered

  NPD
• Radius Anesthesia of Georgia LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1861996225
  NPD
• RG Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Rome, GA
  • NPI 1235553421

  Nurse Anesthetist, Certified Registered

  NPD

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1346219680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740209",
            "address_2": "DEPT. 1029",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740209",
            "telephone_number": "941-360-1566",
            "fax_number": "941-358-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD",
            "address_2": "SUITE 480",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30076",
            "telephone_number": "678-762-0676",
            "fax_number": "678-762-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETSILL",
        "first_name": "SHANNON",
        "middle_name": "WOODALL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN111983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000776685",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "BETSILL-ROOT",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janelle Bertler, CTN
• Vanna-Marie Best Sheppard, PA
• Juliana Betancur Gomez, NP
• Soumya Shivaram Betha, RPH
• Josh Bethune
• Grace Betz, PT, DPT
• Bevel Up Labs
• Meghan Bevill
• Beyond Behavioral Solutions, LLC
• Beyond Birth Collective LLC

• All providers in Roswell, GA
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.