Individual provider Active NPI

Cheryl E. McRae-Bergeron, D.N.P. CRNA

  • Certified Registered Nurse Anesthetist
  • Blairsville, GA
National Provider Identifier
1366498594
Registry record updated Sep 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN035630 Issued in GA
Practice address
547 Riverbend Rd
Blairsville, GA 30512-5971
Phone
(706) 835-6166
Fax
(706) 781-6949
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2014

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 RN035630 GA Primary

Addresses

Primary practice location

547 Riverbend Rd
Blairsville, GA 30512-5971

Mailing address

547 Riverbend Rd
Blairsville, GA 30512-5971
Phone (706) 835-6166

Other identifiers 8

IdentifierTypeStateIssuer
1104009539OtherGACOMPANY NPI
1336498594OtherPERSONAL NPI
800341OtherNORTH CAROLINA MEDICAID - COMPANY
8052438OtherNORTH CAROLINA MEDICAID - INDIVIDUAL
43ZCCCSOtherGAPERSONAL PTAN
920479139AOtherGAGA MEDICAID PAYEE PROVIDER NUMBER
GRP6628OtherGAPTAN CHERYL E MCRAE-BERGERON, PC
6391OtherNCMEDICAID PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hamblen Anesthesia PC Nurse Anesthetist, Certified Registered PastSince Mar 13, 1995 Accepting new patients
Medical Center Anesthesiology of Athens Past Accepting new patients
North Fulton Anesthesia Associates PC Nurse Anesthetist, Certified Registered PastSince Aug 13, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409529600000",
    "number": "1366498594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 RIVERBEND RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305125971",
            "telephone_number": "706-835-6166",
            "fax_number": "706-781-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 RIVERBEND RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305125971",
            "telephone_number": "706-835-6166",
            "fax_number": "706-781-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRAE-BERGERON",
        "first_name": "CHERYL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.N.P. CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2014-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN035630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPANY NPI",
            "identifier": "1104009539",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1336498594",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAID - COMPANY",
            "identifier": "800341",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAID - INDIVIDUAL",
            "identifier": "8052438",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL PTAN",
            "identifier": "43ZCCCS",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICAID PAYEE PROVIDER NUMBER",
            "identifier": "920479139A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN   CHERYL E MCRAE-BERGERON, PC",
            "identifier": "GRP6628",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PIN",
            "identifier": "6391",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.