Individual provider Active NPI

John E Polony, CRNA

  • Certified Registered Nurse Anesthetist
  • Hickory, NC
National Provider Identifier
1346284700
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2295 Issued in SC
Practice address
242A 9TH Avenue Dr NE
Hickory, NC 28601-3828
Phone
(828) 327-6673
NPI assigned
Jun 16, 2006
Last updated
Feb 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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 2295 SC Primary

Addresses

Primary practice location

242A 9TH Avenue Dr NE
Hickory, NC 28601-3828

Mailing address

PO Box 2429
Murrells Inlet, SC 29576-2429
Phone (843) 651-2624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060418000761 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052320165 Reassigns benefits to 3 organizations
I20160912002565 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052320165 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2295SCMDRegistered Dietitian
30050SCMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Healthcare Resources Inc Nurse Anesthetist, Certified Registered CurrentSince May 4, 2025 Accepting new patients
Gastroenterology Associates, PA CurrentSince Jun 29, 2021 Accepting new patients
Concordia Anesthesiology, Inc CurrentSince Dec 1, 2014 Accepting new patients
Gastroenterology Associates, PA CurrentSince Jun 29, 2021 Accepting new patients
Carolina Anesthesia Associates PA Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2006 Accepting new patients
Mountain Regional Anesthesia PLLC CurrentSince Jun 8, 2020 Accepting new patients
Carolina Regional Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 6, 2016 Accepting new patients
Anesthesia Network Services, LLC Past Accepting new patients

Locations

2041 Valleygate Dr
Fayetteville, NC 28304
Phone (910) 321-2187

197 Riverview St
Franklin, NC 28734
Phone (828) 349-3631

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

242A 9th Avenue Dr NE
Hickory, NC 28601
Phone (828) 327-6673

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

12 Regional Dr
Pinehurst, NC 28374
Phone (910) 295-4242

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

125 Halton Rd
Ste 200
Greenville, SC 29607

5 Stevens St
Ste 200
Greenville, SC 29605
Phone (864) 250-6484

3545 Highway 17
Murrells Inlt, SC 29576
Phone (843) 294-1941

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

827 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 286-2020

322 Union Station Dr
Unit 202
Seneca, SC 29678
Phone (855) 654-2020

391 Serpentine Dr
Ste 200
Spartanburg, SC 29303
Phone (864) 583-6381

501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000

Organizations & group practices 8

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1346284700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2429",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295762429",
            "telephone_number": "843-651-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242A 9TH AVENUE DR NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013828",
            "telephone_number": "828-327-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLONY",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "2295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.