Individual provider Active NPI

Sidney Allen McKenzie, CRNA

  • Certified Registered Nurse Anesthetist
  • Florence, SC
National Provider Identifier
1376642447
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN571 Issued in SC
Practice address
1001 W Evans St
Florence, SC 29501-3388
Phone
(843) 679-3251
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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 APN571 SC Primary

Addresses

Primary practice location

1001 W Evans St
Florence, SC 29501-3388

Mailing address

PO Box 6467
Florence, SC 29502-6467
Phone (843) 679-3251

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040415000190 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234124819 Reassigns benefits to 2 organizations
I20120524000234 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234124819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, shared by 9 NPIs, 1,353 clinicians
Tidelands Anesthesia Group LLCGroup PAC ID 5395258065, 51 clinicians

Practice addresses (Care Compare)

4070 Hwy 17
Murrells Inlet, SC 29576-5033
Phone (843) 652-1000

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
571SCMDPediatric Occupational Therapist
APN571SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Dec 28, 2021 Accepting new patients
Carolina Regional Anesthesia PLLC Anesthesiology CurrentSince Aug 1, 2012 Accepting new patients
Tidelands Anesthesia Group LLC Anesthesiology CurrentSince Jul 20, 2025 Accepting new patients
Amsol Anesthetists of Murrells Inlet, SC Anesthesiology Past Accepting new patients
Anesthesia Network Services, LLC Anesthesiology Past Accepting new patients

Locations

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

110 Dennis Dr
Sanford, NC 27330
Phone (919) 774-4511

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

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

2200 Crow Ln
Ste 102
Myrtle Beach, SC 29577
Phone (843) 520-8217

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

Organizations & group practices 6

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 3

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1376642447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6467",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295026467",
            "telephone_number": "843-679-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W EVANS ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013388",
            "telephone_number": "843-679-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "SIDNEY",
        "middle_name": "ALLEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "APN571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.